5.3 Health and Safety Standards for CCDF Providers

Lead Agencies must have health and safety standards for providers serving children receiving CCDF assistance relating to the required health and safety topics as appropriate to the provider setting and age of the children served. This requirement is applicable to all child care programs receiving CCDF funds regardless of licensing status (i.e., licensed or license-exempt). The only exception to this requirement is for relative providers, as defined by CCDF. Lead Agencies have the option of exempting certain relatives from any or all CCDF health and safety requirements. Exemptions for relative providers’ standards requirements will be addressed in question 5.8.1. Describe the following health and safety standards for programs serving children receiving CCDF assistance on the following topics (note that monitoring and enforcement will be addressed in subsection 5.5): 5.3.1 Prevention and control of infectious diseases (including immunizations) health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the prevention and control of infectious diseases for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Center Regulation: 114-503G(6) (a-c)-Child's Record, (6) A health record shall be maintained in the center for each child enrolled, and it shall include all of the following information: (a) A signed statement of the child's health prior to admission to the child care center on the appropriate DSS form; (b) A current South Carolina certificate of Immunization; and (c) Other health information if deemed necessary by the director of the center and/or by parent(s)/guardians; 114-505A- Child's Health, (1) There shall be a statement from a parent/guardian attesting to the health status of the child within 30 days prior to admission and utilizing the appropriate DSS Form. (2) Children shall be excluded from child care when they exhibit the conditions listed in the South Carolina Department of Health and Environmental Control Exclusion Policy, State Law 1976, Code Section 44-1-110, 44-1-140, and 44-29-10. (3) During hours of operation there shall be no smoking or consumption of alcoholic beverages, or use of other non￿prescription narcotic or illegal substances on the center premises. People who appear to be under the influence of alcohol or other drugs shall not be in the center when children are present; 114-505B-Sanitation, (1) Staff shall ensure that children’s faces and hands are clean. (2) Furniture, toys, and equipment that come into contact with children’s mouths shall be washed, rinsed, and sanitized daily and more often if necessary. (3) Furniture, toys and equipment soiled by secretion or excretion shall be sanitized before reuse. (4) Linens and blankets as well as cribs, cots, and mats shall be cleaned at least weekly. (5) If children brush their teeth at the center, each child shall have a separate, labeled toothbrush, stored with bristles exposed to circulating air, and not in contact with another toothbrush; 114-505F Diapering Procedures, (1) Each room in which children who wear diapers are cared for shall have its own diaper-changing area adjacent to the hand-washing sink. (2) Facilities caring for infants shall provide a diaper changing area located within clear view. (3) Diaper changing procedures shall be consistent with those recommended by the Center for Disease Control and Prevention. (4) Diapering surfaces shall be sanitizable. (5) Diapering surfaces shall be clean, seamless, waterproof and sanitary. (6) Diapering surfaces shall be cleaned and sanitized after each use by washing to remove visible soil followed by wiping with an approved sanitizing solution (e.g. 1 tablespoon of chlorine bleach per 1 quart of water) and/or disposable, non-absorbent paper sheets approved for this purpose and shall be discarded immediately after each diapering. (7) Blood contaminated materials and diapers shall be discarded in a plastic bag with a secure tie. Surfaces contaminated with blood or blood- containing body fluids shall be cleaned with a solution of chlorine bleach and water. (8) Diapering shall occur only at a diapering changing area or in a bathroom. (9) Diaper changing areas shall not be used for any purpose other than for diapering. (10) Individual disposable wipes shall be used at each diaper change and shall be placed in a plastic-lined, covered container and disposed of properly, and kept out the reach of children. (11) Each waste and diaper container shall be labeled and clean and free of build-up of soil and odor. Wastewater from such cleaning operations shall be disposed of as sewage. (12) Soiled disposable diapers and disposable wipes shall be kept in a closed, labeled hands-free operated, plastic lined receptacle within reach of diaper changing area separate from other trash. Soiled non-disposable items shall be kept in a sealed plastic bag after feces is disposed of through the sewage. (13) Disposable non-absorbent paper sheets shall be disposed of immediately after diapering is completed. (14) Soiled disposable diapers shall be disposed outside the building daily. Soiled non-disposable diapers shall be kept in a sealed plastic bag and returned to the parent daily. (15) Staff shall check diapers and clothing at a frequency that ensures prompt changing of diapers and clothing. (16) No child shall be left unattended while being diapered; 114-504G-Staff Health, (1) The director shall maintain the following records in the center for herself/himself, staff, and emergency person(s): (a) Medical statements required by the Department and completed by the staff person verifying that his/her health is satisfactory. Medical statements shall be updated as necessary; (b) A health assessment from a health care provider assessing the ability of the staff person to work with children. The health assessment shall be completed within three months prior to employment or within the first month of employment and shall include health history, physical exam, vision and hearing screening, a review of immunization status, and a discussion regarding recommended vaccinations, including a one-time adult dose of TDAP. A new health assessment shall be obtained by the director and staff at least every four years after the initial assessment; and(c) New employees must provide written evidence from a physician or health resource attesting that they are free from communicable tuberculosis pursuant to state statute or the South Carolina Department of Health and Environmental Control regulations or policy. (d) For transferring employees, a current health assessment and written evidence that the employee is free from communicable tuberculosis can transfer with the employee pursuant to state statute or the South Carolina Department of Health and Environmental Control regulations or policy.(2) No person who is known to be afflicted with any disease in a communicable form, or who is a known carrier of such a disease, or who is afflicted with boils, infected wounds, or sores or acute respiratory infection, shall work in any capacity in a child care center in which there is likelihood of such person transmitting disease or infection to other individuals. (3) Any staff member, including the director, emergency person(s) and volunteer(s) who, upon examination or as a result of tests, shows a condition that could be detrimental to the children or staff, or which would prevent satisfactory performance of duties, shall not continue work at the child care center until the healthcare provider indicates that the condition no longer presents a threat to children or staff. (4) Staff persons shall wash their hands with soap and warm running water upon arrival at the center, before preparing or serving food, before assisting a child with eating, after assisting a child with toileting or diapering, before and after toileting, after administering medication, after cleaning, after assisting with wiping noses, after contact with body fluids, after contact with animals and after using cleaning materials. Hands shall be washed even if gloves are worn to perform these tasks. (5) Staff shall be excluded when they exhibit the conditions listed in the SC Department of Health and Environmental Control Exclusion Policy, pursuant to Section 44-1-110, 44-1-140, and 44-29-10 of the South Carolina Code Ann (2002); 114-507A(6)-Water Supply, The water supply shall meet applicable requirements for water quality and testing in accordance with DHEC. (b) The center shall have hot and cold water under pressure. (Forty PSI recommended) If water is unavailable for four hours, a center must close.(c) Hot water shall meet current DHEC regulations for Retail Food Establishments: 61-25. (d) Safe drinking water shall be available to children at all times and there shall be no use of common drinking cups. (e) If a water fountain is available, it shall be of an angle-jet design, maintained in good repair and kept sanitary. There shall be no possibility of mouth or nose submersion. (f) Ice used for any purpose shall be made from water from an approved source. The ice shall be handled and stored in a sanitary manner; 114-507 A (8) Sanitation (a) Clean and sanitary conditions shall be maintained indoors and outdoors, including indoor and outdoor recreational equipment and furnishings. (b) Measures to control insects, rodents, and other vermin shall be taken to prevent harborage, breeding, and infestation of the premises. (c) All solid wastes shall be disposed of at sufficient frequencies and in such a manner not to create a rodent, insect, or vermin problem. (d) Trash in diapering areas shall be kept in closed, hands-free operated, plastic lined receptacles in good repair. (e) Trash in kitchen areas shall be kept in closed, plastic lined receptacles. (f) Trash in children’s restrooms, classrooms, and eating areas shall be kept in plastic lined receptacles.(g) Trash receptacles outside the building, shall be watertight with firm fitting lids that prevent the penetration of insects and rodents.(h) Trash disposal and sewage system construction and usage shall be in accordance with local standards and ordinances. (i) The use of child care room, bathroom, or kitchen sinks for cleaning of trash receptacles or cleaning equipment is prohibited. 114-507 A (12) Bathrooms (a) There shall be at least one flush toilet for every 20 children over two years of age. Staff shall be included when determining availability of toilets if there are no staff rest rooms. (b) If seat adapters are used for toilet training, they shall be cleaned and sanitized after each use. (c) Toilet training equipment shall be provided to children who are being toilet trained. (d) There shall be at least one sink with running water under pressure for every 20 children over two years of age. Sinks shall be located in or near each toilet area. It is recommended that water be a minimum of 60 degrees Fahrenheit. (e) Toilets and sinks shall be at heights accessible to the children using them or shall be equipped with safe and sturdy platforms or steps. (f) Privacy shall be provided for toilets used by preschool and school age children. (g) Floor and wall surfaces in the toilet area shall have smooth, washable surfaces. Carpeting is not permitted in the toilet area. (h) Toilets, toilet seat adapters, sinks and restrooms shall be cleaned at least daily and shall be in good repair. (i) Liquid or granular soap and disposable towels shall be provided at each sink. (j) Children shall not be left unattended in a bathtub or shower. (k) Easily cleanable receptacles shall be provided for waste material. Toilet rooms used by women shall be provided with at least one covered waste receptacle. (l) Bathroom facilities shall be completely enclosed. 114-507D(2) Rest Equipment, Each infant, toddler, two year old and preschool child shall be assigned an individual, clean, and developmentally appropriate crib, cot, or mat appropriately labeled with the child’s name and/or charted and used only by that child; 114-508A(4-6) Meal Requirements, (4)All food in child care centers shall be from a source approved by the health authority and shall be clean, wholesome, unspoiled, free from contamination, properly labeled, and safe for human consumption. (5) The use of food in hermetically sealed containers that was not prepared in an approved food processing establishment is prohibited. (6) The use of home-canned foods is not allowed. 114-508B. Food preparation (1) Adequate hand-washing facilities, separate from food preparation sinks, equipped with hot and cold water under pressure supplied through a mixing faucet, shall be provided in the food preparation area. Hot water shall meet current DHEC regulations for Retail Food Establishments: 61-25. (Facilities shall not be required to install an additional hand-washing sink in the food preparation area if, in the opinion of the health authority, the existing hand-washing facilities are adequate.) (2) Sanitary soap and towels shall be provided; 114-508(D)-Storage and Cleaning, All food shall be properly labeled and stored, and shall be protected against contamination. (2) The director shall provide refrigeration units and insulated facilities, as needed, to ensure that all potentially hazardous foods are maintained at 45 degrees Fahrenheit or below or 130 degrees Fahrenheit or above, except during necessary periods of preparation. (3) Thermometers shall be accurate to plus or minus 3 degrees and conspicuously placed in the warmest area of all cooling and warming units to ensure proper temperatures. (4) Containers of food, food preparation equipment and single service articles shall be stored at least 6￿ above the floor, on clean surfaces, and in such a manner to be protected from splash and other contamination. (5) Food not subject to further washing or cooking before serving shall be stored in such a manner to be protected against contamination from food requiring washing or cooking.(6) The storage of food or food equipment, utensils, or single-service articles in toilet rooms and under exposed sewer lines is prohibited. (7) Custards, cream fillings, or similar products which are prepared by hot or cold processes shall be kept at safe temperatures except during necessary periods of preparation and service. (8) All cleaning supplies, detergents, and other potentially poisonous items shall be stored away from food items and shall be inaccessible to children. 144-508 E Cleaning, storage, and handling of utensils and equipment (1) Tableware shall be washed, rinsed, and sanitized after each use. (2) All kitchenware and food-contact surfaces of equipment shall be washed, rinsed, and sanitized. (3) The cooking surfaces of cooking devices shall be cleaned as often as necessary and shall be free of encrusted grease deposits and other soil. (4) Non-food contact surfaces of all equipment, including tables, counters, and shelves, shall be cleaned at such frequency as is necessary to be free of accumulation of dust, dirt, food particles, and other debris. (5) After sanitation, all equipment and utensils shall be air-dried. (6) Prior to washing, all equipment and utensils shall be rinsed or scraped, and when necessary, presoaked to remove gross food particles and soil. (7) When manual dishwashing is employed, equipment and utensils shall be thoroughly washed in a detergent solution that is kept reasonably clean, be rinsed thoroughly of such solution, sanitized by one of the following methods: (a) Complete immersion for at least 30 seconds in a clean solution containing at least 50 parts per million of available chlorine as a hypochlorite and at a temperature of at least 75 degrees Fahrenheit; (b) Complete immersion for at least 30 seconds in a clean solution containing at least 12.5 parts per million of available iodine and having a pH no higher than 5.0 and at a temperature of at least 75 degrees Fahrenheit; (c) Complete immersion for at least 30 seconds in a clean solution containing at least 200 parts per million of quaternary ammonium at a temperature of at least 75 degrees Fahrenheit; or (d) Complete immersion in hot water at a temperature of 170 degrees Fahrenheit in a three compartment sink. (8) Other chemical sanitizing agents may be used which have been demonstrated to the satisfaction of the health authority to be effective and non-toxic under use conditions, and for which suitable field tests are available. Such sanitizing agents, in use solution, shall provide the equivalent bactericidal effect for a solution containing at least 50 parts per million of available chlorine at a temperature not less than 75 degrees Fahrenheit. (9) A test kit or other device that accurately measures the parts per million concentration of the solution shall be available and used. (10) All dishwashing machines shall be approved by the South Carolina Department of Health and Environmental Control (DHEC) and shall meet applicable installation requirements. (11) Food-contact surfaces of cleaned and sanitized equipment and utensils shall be handled in such a manner as to be protected from contamination. (12) Cleaned and sanitized utensils shall be stored above the floor in a clean, dry location so that food contact surfaces are protected from contamination. (13) Clean spoons, knives, and forks shall be picked up and touched only by their handles. Clean cups, glasses, and bowls shall be handled so that fingers and thumbs do not contact inside surfaces or lip-contact surfaces. (14) Dish tables or drain boards of adequate size to properly handle soiled utensils prior to washing and for cleaned utensils following rinsing and sanitizing shall be provided; 114- 509(A)(3)(a)- A. Infant and toddler care, Feeding, Eating, and Drinking, Cups and bottles shall be labeled with the child’s name and used only by that child; 114-509(B)- Care for mildly ill children, (1) Parent notification and instructions (a) If a child becomes ill while in care, the center shall notify the parent or responsible party immediately. (b) If a child may have been exposed to a serious communicable disease that is spread through casual contact, the center shall notify the parents of all potentially exposed children about the nature of the illness and the potential exposure to the illness and recommend consultation with the child’s physician. (c) If a center chooses to provide care to a mildly ill child, the center shall receive instructions from the parent for any special care needs of the child. (2) Policies and procedures (a) If a center chooses to provide care to a mildly ill child, the center shall have written policies and procedures specifying inclusion and exclusion from the group, communication with parents, recording of illness and care provided, specific types of illnesses and symptoms which prohibit care from being provided, special staff training required and emergency health procedures. (b) Children shall be excluded when they exhibit the conditions listed in the South Carolina Department of Health and Environmental Control Exclusion Policy, State Law 1976, Code Section 44-1- 110, 44-1-140, and 44-29-10. (c) If a child is in a rest area due to illness, the child shall be directly supervised at all times. (d) A hand-washing sink shall be in close proximity to the area designated for mildly ill children. Prevention and Control of Infectious Diseases ABC Quality Standard, Center Based Policy Manual section 4.2.3i 4.2.3.i Prevention and Control of Infectious Diseases Policy Attendance at a child care facility may expose a child to an increased risk of acquiring infectious diseases. Many types of infectious germs may be contained in human waste (urine, feces) and bodily fluids (saliva, nasal discharge, tissue and injury discharges, eye discharges, blood, and vomit). The program must address how they will help to ensure that infectious diseases are prevented or minimized while children are in care. 1. The policy must address the following: a. Health observation of children daily. b. Separation of children who show symptoms of a communicable disease or infestation, e.g. pinkeye, lice, mumps, flu, etc. Include where child will be kept until parents arrive/how ratios met/contact of parents. c. Exclusion or dismissal of children who are ill, and what types of illnesses should preclude parents from bringing the child to the program (e.g., fever, flu, pinkeye, strep, etc.). d. Hand washing by children to prevent the spread of germs, e.g., after using the restroom, before eating meals/snacks, after handling animals, etc. e. Hand washing by staff: prior to preparing food; after contact with children while preparing food; after handling bodily fluids or after changing diapers or after applying medication/ointments where there is a break in the skin; after handling animals; after cleaning or handling the garbage. f. A procedure to notify parents when children have been exposed to an infectious disease. g. The program requires copies of immunization records for children who are homeschooled unless the parent provides a statement of religious exemption. Note: In SC, under the authority of the Department of Health and Environmental Control (DHEC), school districts are responsible for ensuring verification of immunization records for children age 5 and up. h. Cleaning/Disinfecting Schedule of the facility/areas where children are ABC Quality Center-based Manual (June 3, 2024) 15 served. i. Staff health to include the current health assessment and TB test. 2. The program must follow its written policy ii. All CCDF-eligible licensed family child care homes. Provide the standard: Group Child Care Homes Child Care Licensing Regulations set forth in 2005. Group Child Care Home Regulations 114-513G(6)(a-c)- Child's Record, ) A health record shall be maintained in the group child care home for each child enrolled, and it shall include all of the following information: (a) A signed statement of the child's health prior to admission to the group child care home on the appropriate Department of Social Services (DSS) Form; (b) A current South Carolina Certificate of Immunization; and (c) Other health information if deemed necessary by the operator of the group child care home and/or by parent(s)/guardian(s). 114-515A-Children's Health, Child health (1) Children shall be excluded from child care when they exhibit the conditions listed in the DHEC Exclusion Policy. (2) During hours of operation there shall be no smoking or consumption of alcoholic beverages in the areas used by children or in the food preparation or storage areas. Smoking shall be permitted only in designated areas, a safe distance from the group child care home. Consumption of alcoholic beverages or use of other non￿prescription narcotic or illegal substances is prohibited on the group child care home premises. People who appear to be under the influence of alcohol or other drugs shall not be in the group child care home when children are present. 114-515B-Sanitation, (1) Staff shall ensure that children’s faces and hands are clean. (2) Furniture, toys, and equipment that come into contact with children’s mouths shall be washed, rinsed, and sanitized daily and more often if necessary. (3) Furniture, toys and equipment soiled by secretion or excretion shall be sanitized before reuse. (4) Linens and blankets as well as cribs, cots, and mats shall be cleaned at least weekly. (5) If playpens are used, they shall have waterproof, washable, comfortable pads. (6) If children brush their teeth at the group child care home, each child shall have a separate, labeled toothbrush, stored with bristles exposed to circulating air, and not in contact with another toothbrush. 114-515F(1-6)- Diapering Procedure, Diapering (1) Diaper changing procedures shall be consistent with those recommended by the Center for Disease Control and Prevention. (2) Diapering surfaces shall be clean, seamless, waterproof and sanitary. (3) Blood contaminated materials and diapers shall be discarded in a plastic bag with a secure tie. Surfaces contaminated with blood or blood-containing body fluids shall be cleaned with an approved solution of chlorine bleach and water. (4) Individual disposable wipes shall be used at each diaper change and shall be placed in a plastic -lined, covered container and disposed of properly, and kept out the reach of children (5) Soiled disposable diapers and disposable wipes shall be kept in a closed, labeled hands- free operated, plastic lined receptacle within reach of diaper changing area separate from other trash. Soiled non-disposable diapers shall be kept in a sealed plastic bag after feces shall be disposed of through the sewage. (6) Staff shall check diapers and clothing at a frequency that ensures prompt changing of diapers and clothing. (7) No child shall be left unattended while being diapered. 114-515G-Staff's Health, (1) The operator shall maintain the following records in the group child care home for herself/himself, staff, emergency person(s) and household members:(a) Medical statements required by the Department and completed by the staff person verifying that his/her health is satisfactory. Medical statements shall be updated as necessary; and (b) A health assessment from a health care provider assessing the ability of the operator, staff, and emergency staff person to work with children. The health assessment shall be completed within three months prior to employment or within the first month of employment and shall include health history, physical exam, vision and hearing screening, tuberculosis screening, and a review of immunization status. A new health assessment shall be obtained by the operator and teacher/caregivers at least every four years after the initial assessment or as necessary. (2) No person who is known to be afflicted with any disease in a communicable form, or who is a known carrier of such a disease, or who is afflicted with boils, infected wounds, or sores or acute respiratory infection, shall work in any capacity in a group child care home in which there is likelihood of such person transmitting disease or infection to other individuals. (3) Any staff member, including the operator, emergency person(s) and volunteer(s) who, upon examination or as a result of tests, shows a condition that could be detrimental to the children or staff, or which would prevent satisfactory performance of duties, shall not continue work at the group child care home until the healthcare provider indicates that the condition no longer presents a threat to children or staff.(4) Staff persons shall wash their hands with soap and warm running water upon arrival at the group child care home, before preparing or serving food, before assisting a child with eating, after assisting a child with toileting or diapering, before and after toileting, after administering medication, after cleaning, after assisting with wiping noses, after contact with body fluids, after contact with animals, and after using cleaning materials. Hands shall be washed even if gloves are worn to perform these tasks. (5) Staff shall be excluded when they exhibit the conditions listed in the DHEC Exclusion Policy. 114-517A (6) - Water Supply (a) The water supply shall meet applicable requirements for water quality and testing in accordance with DHEC. (b) The group child care home shall have hot and cold water under pressure. (Forty PSI recommended.) If an individual private well water supply is used, the operator shall obtain approval pursuant to DHEC to ensure safe location, construction, and proper maintenance and operation of the system. (c) The hot water supply shall meet applicable requirements of DHEC. (d) Safe drinking water shall be available to children at all times and there shall be no use of common drinking cups. (e) If a water fountain is available, it shall be of an angle-jet design, maintained in good repair and kept sanitary. There shall be no possibility of mouth or nose submersion. (f) Ice used for any purpose shall be made from water from an approved source. The ice shall be handled and stored in a sanitary manner. 114-517 (8) Sanitation. (a) Clean and sanitary conditions shall be maintained indoors and outdoors, including indoor and outdoor recreational equipment and furnishings. (b) Measures to control insects, rodents, and other vermin shall be taken to prevent harborage, breeding, and infestation of the premises. (c) All solid wastes shall be disposed of at sufficient frequencies and in such a manner not to create a rodent, insect, or vermin problem. (d) Trash in diapering areas shall be kept in closed, hands-free operated, plastic lined receptacles in good repair. (e) Trash in kitchen areas shall be kept in closed, plastic lined receptacles. (f) Trash in children’s restrooms, classrooms, and eating areas shall be kept in plastic lined receptacles. (g) Trash receptacles outside the building, shall be watertight with firm fitting lids that prevent the penetration of insects and rodents. (h) Trash disposal and sewage system construction and usage shall be in accordance with local standards and ordinances. (i) The use of child care room, bathroom, or kitchen sinks for cleaning of trash receptacles or cleaning equipment is prohibited. 114-517 A (12) Bathrooms. (a) There shall be at least one flush toilet. (b) If seat adapters are used for toilet training, they shall be cleaned and sanitized after each use. (d) There shall be at least one sink with hot and cold running water under pressure in or near each toilet area. (e) Toilets and sinks shall be at heights accessible to the children using them or shall be equipped with safe and sturdy platforms or steps. (f) Toilets, toilet seat adapters, sinks and restrooms shall be cleaned at least daily and shall be in good repair. (g) Liquid or granular soap and disposable towels shall be provided at each sink. (i) Easily cleanable receptacles shall be provided for waste material. 114-515D(2) - Rest Equipment, (1) Cribs shall meet the specification of the CPSC. (2) Individual, clean, developmentally appropriate cribs, cots, or mats shall be provided for each infant, toddler, and preschool child, labeled with the child’s name and used only by that child. (3) Cribs, cots, and mats shall be made of easily cleanable material. (4) Placement of sleeping and napping equipment shall allow ready access to each child by staff. (5) Individual, clean, appropriate coverings shall be provided. (6) Cots and mats shall be stored so that the surface on which a child lies does not touch the floor 114-508A(4) Meal Requirements, (4) All food in group child care homes shall be clean, wholesome, unspoiled, free from contamination, properly labeled, and safe for human consumption. 114-508 B B. Food Preparation (1) Adequate hand-washing facilities equipped with hot and cold water under pressure, supplied through a mixing faucet, shall be provided in or convenient to the food preparation area. (2) Sanitary soap and towels shall be provided. (3) Utensils, such as forks, knives, tongs, spoons, and scoops shall be provided and used to minimize handling of food in all food preparation areas.(4) Staff shall thoroughly wash their hands and exposed areas of arms with soap and warm water before starting work, during work as often as is necessary to keep them clean, e.g., after smoking, eating, drinking, or using the toilet. Staff shall keep their fingernails clean and trimmed. (5) The outer clothing of all staff shall be clean. (6) Staff shall neither use tobacco in any form while preparing or serving food, nor while in areas used for equipment or utensil washing or for food preparation. (7) Potentially hazardous foods requiring cooking shall be cooked to heat all parts of the food to an internal temperature of at least 140 degrees Fahrenheit, with the following exceptions:(a) Hamburger shall be cooked to at least 155 degrees Fahrenheit;(b) Poultry, poultry stuffing, stuffed meats, and stuffing-containing meat shall be cooked to heat all parts of the food to at least 165 degrees Fahrenheit with no interruption of the cooking process;(c) Pork and any food containing pork shall be cooked to heat all parts of the food to at least 150 degrees Fahrenheit; and(d) Rare roast beef and rare beefsteak shall be cooked to surface temperature of at least 130 degrees Fahrenheit. (8) Potentially hazardous food such as meats, cooked rice, and cream-filled pastries shall be prepared (preferably from chilled products) with a minimum of manual contact and on surfaces with utensils that are clean and sanitized prior to use.(9) Metal, stem-type, numerically-scaled indicating thermometers, accurate to plus or minus three degrees Fahrenheit, shall be provided and used to ensure that proper internal cooking, holding, or refrigeration temperatures of all potentially hazardous foods are maintained. (10) Potentially hazardous foods shall be thawed as follows:(a) In refrigerated units at a temperature not to exceed 45 degrees Fahrenheit; (b) Under potable running water from the cold water supply with sufficient water velocity to remove loose food particles; (c) In a microwave oven only when food will be immediately transferred to conventional cooking equipment as part of a continuous cooking process or when the entire, uninterrupted cooking process takes place in the microwave oven; or (d) As part of the conventional cooking process. (11) All raw fruits and vegetables shall be washed thoroughly before being cooked, served, or placed in refrigerators. 114-508(D) Storage (1) All food shall be properly labeled and stored and shall be protected against contamination. (2) The operator shall provide refrigeration units to ensure that all potentially hazardous foods are maintained at 45 degrees Fahrenheit or below or 130 Fahrenheit or above, except during necessary period of preparation. (3) Thermometers shall be accurate to plus or minus 3 degrees and conspicuously placed in the warmest area of all cooling and warming units to ensure proper temperatures. (4) Containers of food, food preparation equipment and single service articles shall be stored at least 6￿ above the floor, on clean surfaces, and in such a manner to be protected from splash and other contamination. (5) Food not subject to further washing or cooking before serving shall be stored in such a manner to be protected against contamination from food requiring washing or cooking. (6) The storage of food or food equipment, utensils, or single -service articles in toilet rooms and under exposed sewer lines is prohibited. (7) Custards, cream fillings, or similar products which are prepared by hot or cold processes shall be kept at safe temperatures except during necessary periods of preparation and service. (8) All cleaning supplies, detergents, and other potentially poisonous items shall be stored away from food items and shall be inaccessible to children. (E) - Storage and Cleaning, Storage and handling of utensils and equipment, (1) Tableware shall be washed, rinsed, and sanitized after each use. (2) All kitchenware and food- contact surfaces of equipment shall be washed, rinsed, and sanitized. (3) Residential dishwashers may be used for washing and rinsing providing that dishes and utensil are sanitized upon removal. (4) The cooking surfaces of cooking devices shall be cleaned as often as necessary and shall be free of encrusted grease deposits and other soil. (5) Non-food contact surfaces of all equipment, including tables, counters, and shelves, shall be cleaned at such frequency as is necessary to be free of accumulation of dust, dirt, food particles, and other debris. (6) Prior to washing, all equipment and utensils shall be rinsed or scraped, and when necessary, presoaked to remove gross food particles and soil. (7) Food-contact surfaces of cleaned and sanitized equipment and utensils shall be handled in such a manner as to be protected from contamination.(8) Cleaned and sanitized utensils shall be stored above the floor in a clean, dry location so that food-contact surfaces are protected from contamination.(9) Clean spoons, knives, and forks shall be picked up and touched only by their handles. Clean cups, glasses, and bowls shall be handled so that fingers and thumbs do not contact inside surfaces or lip contact surfaces. 114-5199(A)(3)(a-f) - Infant and toddler care, Feeding Eating and Drinking, Feeding, eating and drinking. (a) Cups and bottles shall be labeled with the child’s name and used only by that child. (b) Infants shall be fed in accordance with the time schedule, specific food and beverage items and quantities as specified by the parent. (c) Infants shall be held while being bottle fed until they are able to hold their own bottles. Bottles shall not be propped or given in cribs or on mats. (d) Due to nutritional concerns, the microwaving of breast milk is prohibited. The microwaving of formula and other beverages is strongly discouraged due to the possibility of a burn injury to the child. However, if the facility plans to use this method of heating formula and other beverages, they must notify all parents in writing as part of the enrollment or orientation process. (e) All warmed bottles shall be shaken well and the temperature tested before feeding to a child. (f) Baby formula, juice, and food served in a bottle shall be prepared, ready to feed, identified, and packaged for single use for the appropriate user. Any excess formula, juice or food shall be discarded after each feeding. Formula, juice and food requiring refrigeration shall be maintained at 45 degrees Fahrenheit or below. 114-519(B) - Care for mildly ill children. Care for mildly ill children (1) Parent notification and instructions. (a) If a child becomes ill while in care, the operator shall notify the parent or responsible party immediately. (b) If a child may have been exposed to a serious communicable disease that is spread through casual contact, the group child care home shall notify the parents of all potentially exposed children about the nature of the illness and the potential exposure to the illness, and recommend consultation with the child’s physician. (c) If an operator chooses to provide care to a mildly ill child, the operator shall receive instructions from the parent for any special care needs of the child. (2) Policies and procedures. (a) If an operator chooses to provide care to a mildly ill child, the group child care home shall have written policies and procedures specifying inclusion and exclusion from the group, communication with parents, recording of illness and care provided, specific types of illnesses and symptoms which prohibit care from being provided, special staff training required and emergency health procedures. (b) Children shall be excluded when they exhibit the conditions listed in the DHEC Exclusion Policy. (c) If a child is in a rest area due to illness, the child shall be supervised at all times. The Child Care Licensing Law currently describes health and safety inspections for small Family Child Care Homes. Children's Code of Law - Title 63, Section 63-13- 830E(1)(a), Statement of Registration, The department may deny an application for a statement of registration, deny an application for a renewal of registration, work with a family childcare home operator to resolve a concern, or withdraw a statement of registration if one or more of the following apply: (a) the health or safety of any child in the facility is at risk; and 63-13-840A(1) Inspections of family childcare homes. (A) When the department visits a family childcare home for purposes of an inspection or investigation pursuant to Section 63￿13￿80(A), it shall conduct the review to ensure the facility complies with the following: (1) health and safety of the children. Policy FCCH 21 - FCCH FCCH providers must help to ensure that infectious diseases are prevented or minimized while children are in care. The establishment of a policy should address: (a) Requirements for child immunizations and/or exemption information for children receiving CCDF-funding (ABC Quality-enrolled) services. (b) Health observation of children daily(c) Separation of children who show symptoms of a communicable disease or any diseases listed on the DHEC School and Childcare Exclusion List; include where child will be kept until parents arrive, how ratios are met, and how to contact parents (d) Exclusion or dismissal of children who show symptoms of a communicable disease or any diseases listed on the DHEC School and Childcare Exclusion List (e) Hand washing by children to prevent the spread of germs, e.g. after using the restroom and before eating meals/snacks; handling animals(f) Hand washing by provider and any emergency person: prior to preparing food; after contact with children while preparing food; after handling bodily fluids or after applying medication/ointments to where there is a break in the skin; handling animals; after cleaning or handling the garbage (g) A procedure to notify parents when children have been exposed to an infectious disease(h) Cleaning/Disinfecting Schedule of the home/areas where children are served (i) Staff health to include the health assessment. 114-532F Child’s Records, (3) Child’s health records ￿ The file shall contain the following: (b) Copy of immunization card of the child indicating required immunizations are completed, in process, or that the child is exempt. 114-534 A (1-6) Health, Sanitation, and Safety. Child Health and Safety (1) Children shall be excluded from care when they exhibit conditions listed in the DHEC Exclusion Policy. (2) During the hours of operation: (a) There shall be no use of non-prescription narcotic or illegal substances; (b) There shall be no consumption of alcoholic beverages on the premises; (c) There shall be no smoking or vaping inside or where children are present; (d) There shall not be any people who appear to be under the influence of alcohol or other drugs on the premises. 114-534 B (1-3) Staff Health (1) Staff shall be excluded when they exhibit the conditions listed on the DHEC Exclusion Policy. (2) The operator and/or staff shall wash their hands with soap and running water before preparing foods, before and after administering medication, after toileting, after assisting a child with toileting or diapering, after cleaning, and if returning to the family child care home from outside. Hands shall be washed even if gloves were worn to perform these tasks. (3) No person who is known to be afflicted with any disease in a communicable form, or who is a known carrier of such disease, or who is afflicted with boils, infected wounds, or sores or acute respiratory infection shall work in any capacity in a family child care home in which there is a likelihood of such person transmitting disease or infection to other individuals. 114-534 C. Sanitation, (1) Clean and sanitary conditions shall be maintained indoors and outdoors, including indoor and outdoor recreational equipment. (2) The operator and/or caregiver shall ensure children’s faces and hands are clean. (3) The family child care home and premises shall be situated, equipped, and maintained as needed in order to safeguard the health of the users. (4) The family child care home shall follow approved sanitary methods of disposal of wastes. 114-534 D. Water Supply (1) The water supply shall meet bacteriological, chemical, and physical requirements for water quality and testing in accordance with DHEC. (2) If water is unavailable for four (4) hours, an operator shall contact the Department and may be required to close. (3) Safe drinking water shall be available to children at all times and there shall be no use of common drinking cups. If disposable cups are used, they shall be stored to prevent contamination prior to use. 114-534 H. Diapering (1) Family child care homes caring for infants shall provide a non-porous sanitizable surface. Only a solution of bleach and water shall be used to sanitize the diaper changing surface after each diapering. (2) Diapers shall be checked for wetness and feces at least hourly and whenever the child exhibits discomfort. Soiled diapers shall be changed immediately. (3) Soiled diapers shall be placed in a plastic-lined, covered, leak-proof container which shall be emptied and cleaned daily. (4) Children’s hands shall be washed with soap and water after each diapering. In the case of infants, hands may be cleaned with single-use pre-moistened towels. 114-534 I. Toilets and sinks (1) A minimum of one flush toilet and one sink shall be available for children. (2) Potty chairs and seat adaptors are to be used in the bathroom only. Contents shall be disposed of in a toilet, and chairs/adaptors shall be sanitized with bleach water after each use. (3) Water, liquid or granular soap, and disposable towels shall be provided. (4) If children brush their teeth at the family child care home, each child shall have a separate, labeled toothbrush, stored with bristles exposed to circulating air, and not in contact with another toothbrush. 114-536. Food. A. Meal Requirements (4) When the family child care home provides food, it shall be in good condition, free from spoilage and contamination, and safe for human consumption. (5) Safe water for drinking shall be accessible to children through the day. 114-536 B. Storage (1) All perishable food shall be stored in refrigeration at 40 degrees Fahrenheit or lower to protect against spoilage. 114-536 C. Food Service (1) Handling of food: (a) Caregivers shall wash their hands prior to handling food. (b) No person with boils, infected wounds, sores, or acute respiratory infection shall work in any capacity in which there is a likelihood of such person contaminating food or surfaces in contact with food or transmitting disease to other individuals.114-536 D. Cleaning and storage of utensils and equipment (1) Cleaning procedures: After each use, all tableware, kitchenware, and food contact surfaces used in preparation, serving or storage of food shall be thoroughly cleaned and sanitized. 114-536 A (3). Infant Care. A. Safe Sleep (3) Individual, comfortable, and sanitary cribs for sleeping and resting shall be provided. 114-536 B. Safe feeding (4) Breast milk, formula, juice or baby food shall be dated and labeled with the child’s name and refrigerated until ready to use. 114-536 C. Feeding chairs (1) Feeding chair and trays shall be in good repair and made of an easily cleanable surface and cleaned/sanitized after each individual use. Registered or licensed family child care home and group child care programs that participate in ABC Quality must meet the standard Prevention and Control of Infectious Diseases with policy that helps to ensure that infectious diseases are prevented or minimized while children are in their care. These policies must address daily health observations of children, separation of children who show signs of communicable diseases, exclusion or dismissal of children who are ill, handwashing of children and staff to prevent spread of germs, notifications to parents when children have been exposed to an infectious disease, copies of children immunization records, cleaning/disinfecting schedule, and (for Large FCCH) staff Health,114-517A(6)-Water Supply, 114- 517D(2)-Rest Equipment, 114- 508A(4-6) Meal Requirements, 114-508(D)&E)-Storage and Cleaning, Storage and handling of utensils and equipment; 114-409(A)(3)(a)- Feeding Eating and Drinking; 114-509(B)-Care for mildly ill children. The Child Care Licensing Law currently describes health and safety inspections for small Family Child Care Homes. Children's Code of Law-Title 63, Section 63-13-830E(1)(a) and 63-13-840 A(1) related to health and safety of children. Small FCCH Regulations 114-534 B. Staff Health, C. Sanitation, D. Water Supply, H. Diapering, I. Toilets and Sinks; 114- 536 Food, A. Meal Requirements, B. Storage, C. Food Services, D. Cleaning and storage of utensils and equipment; 114-537 Infant Care, B. Safe Feeding, C. Feeding Chairs. Policy FCCH 21- FCCH providers must help to ensure that infectious diseases are prevented or minimized while children are in care. All licensed family child care providers must comply with the requirements in the Suggested Standards. Health records (health assessment and TB test). Prevention and Control of Infectious Diseases ABC Quality Standard, Family and Group Child Care Home, Policy Manual section 4.2.3i 4.2.3.i Prevention and Control of Infectious Diseases Policy Attendance at a child care facility may expose a child to an increased risk of acquiring infectious diseases. Many types of infectious germs may be contained in human waste (urine, feces) and bodily fluids (saliva, nasal discharge, tissue and injury discharges, eye discharges, blood, and vomit). The program must address how they will help to ensure that infectious diseases are prevented or minimized while children are in care. 1. The policy must address the following: a. Health observation of children daily. b. Separation of children who show symptoms of a communicable disease or infestation, e.g. pinkeye, lice, mumps, flu, etc. Include where child will be kept until parents arrive/how ratios met/contact of parents. c. Exclusion or dismissal of children who are ill, and what types of illnesses should preclude parents from bringing the child to the program (e.g., fever, flu, pinkeye, strep, etc.). d. Hand washing by children to prevent the spread of germs, e.g., after using the restroom, before eating meals/snacks, after handling animals, etc. e. Hand washing by staff: prior to preparing food; after contact with children while preparing food; after handling bodily fluids or after changing diapers or after applying medication/ointments where there is a break in the skin; after handling animals; after cleaning or handling the garbage. f. A procedure to notify parents when children have been exposed to an infectious disease. g. The program requires copies of immunization records for children who are homeschooled unless the parent provides a statement of religious exemption. Note: In SC, under the authority of the Department of Health and Environmental Control (DHEC), school districts are responsible for ensuring verification of immunization records for children age 5 and up. h. Cleaning/Disinfecting Schedule of the facility/areas where children are ABC Quality Center-based Manual (June 3, 2024) 15 served. i. Staff health to include the current health assessment and TB test. 2. The program must follow its written policy iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Prevention and Control of Infectious Diseases ABC Quality Standard, Licensed Exempt Centers, Policy Manual section 4.2.6i 4.2.6.i Prevention and Control of Infectious Diseases Policy attendance at a child care facility may expose a child to an increased risk of acquiring infectious diseases. Many types of infectious germs may be contained in human waste (urine, feces) and bodily fluids (saliva, nasal discharge, tissue and injury discharges, eye discharges, blood, and vomit). The program must address how they will help to ensure that infectious diseases are prevented or minimized while children are in care. 1. The policy must address the following: a. Health observation of children daily. b. Separation of children who show symptoms of a communicable disease or infestation, e.g. pinkeye, lice, mumps, flu, etc. Include where child will be kept until parents arrive/how ratios met/contact of parents. c. Exclusion or dismissal of children who are ill, and what types of illnesses should preclude parents from bringing the child to the program (e.g., fever, flu, pinkeye, strep, etc.). d. Hand washing by children to prevent the spread of germs, e.g., after using the restroom, before eating meals/snacks, after handling animals, etc. e. Hand washing by staff: prior to preparing food; after contact with children while preparing food; after handling bodily fluids or after applying medication/ointments where there is a break in the skin; after handling exposed to an infectious disease. g. The program requires copies of immunization records for children who are homeschooled unless the parent provides a statement of religious exemption. Note: In SC, under the authority of the Department of Health and Environmental Control (DHEC), school districts are responsible for ensuring verification of immunization records for children age 5 and up. h. Cleaning/Disinfecting Schedule of the facility/areas where children are served. i. Staff health to include the current health assessment and TB test. 2. The program must contact ABC Quality when at least two or more children have a communicable disease. This may be reported via phone or email to your ABC Quality Assessor. 3. The program must follow its written policy. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Prevention and Control of Infectious Diseases Standard, FFN Policy Manual section 4.2.11 4.2.11 Prevention and Control of Infectious Diseases Policy Care provided outside the child’s home may expose a child to an increased risk of acquiring infectious diseases for several reasons. Many types of infectious germs may be contained in human waste (urine, feces) and body fluids (saliva, nasal discharge, tissue and injury discharges, eye discharges, blood, and vomit). ￿CCDF Health and safety Requirements Brief # 1 ￿ Prevention and Control of Infectious Diseases16￿ https://childcareta.acf.hhs.gov/sites/default/files/public/infectious_disease_healt h_s afety_brief.pdf The provider must address how they will help to ensure that infectious diseases are prevented or minimized while children are in care. The policy should address: a. Required Immunizations and or proof of exemption b. Health observation of children daily. c. Separation of children who show symptoms of a communicable disease or infestation, e.g. pinkeye, Lice, mumps, etc. Include where child will be kept until parents arrive/ how ratios met/contact of parents. d. Exclusion or dismissal of children when ill, i.e. flu (what types of illness should preclude the parents from bringing the child to the provider, e.g. fever, flu, pinkeye, strep, etc.). e. Hand washing by children to prevent the spread of germs, e.g. after using the restroom and before eating meals/snacks; handling animals. f. Hand washing by provider and any emergency person: prior to preparing food; after contact with children while preparing food; after handling bodily fluids or after applying medication/ointments to where there is a break in the skin; handling animals; after cleaning or handling the garbage. g. A procedure to notify parents when children have been exposed to an infectious disease. h. Cleaning/Disinfecting Schedule of the home/areas where children are served. i. Staff health to include the health assessment. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Non-related FFN provider providing in-home care must comply with standard. Prevention and Control of Infectious Diseases Standard, FFN Policy Manual section 4.2.11 4.2.11 Prevention and Control of Infectious Diseases Policy Care provided outside the child’s home may expose a child to an increased risk of acquiring infectious diseases for several reasons. Many types of infectious germs may be contained in human waste (urine, feces) and body fluids (saliva, nasal discharge, tissue and injury discharges, eye discharges, blood, and vomit). ￿CCDF Health and safety Requirements Brief # 1 ￿ Prevention and Control of Infectious Diseases16￿ https://childcareta.acf.hhs.gov/sites/default/files/public/infectious_disease_healt h_s afety_brief.pdf The provider must address how they will help to ensure that infectious diseases are prevented or minimized while children are in care. The policy should address: a. Required Immunizations and or proof of exemption b. Health observation of children daily. c. Separation of children who show symptoms of a communicable disease or infestation, e.g. pinkeye, Lice, mumps, etc. Include where child will be kept until parents arrive/ how ratios met/contact of parents. d. Exclusion or dismissal of children when ill, i.e. flu (what types of illness should preclude the parents from bringing the child to the provider, e.g. fever, flu, pinkeye, strep, etc.). e. Hand washing by children to prevent the spread of germs, e.g. after using the restroom and before eating meals/snacks; handling animals. f. Hand washing by provider and any emergency person: prior to preparing food; after contact with children while preparing food; after handling bodily fluids or after applying medication/ointments to where there is a break in the skin; handling animals; after cleaning or handling the garbage. g. A procedure to notify parents when children have been exposed to an infectious disease. h. Cleaning/Disinfecting Schedule of the home/areas where children are served. i. Staff health to include the health assessment. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ABC Quality only allows license-exempt programs that operate during the school year or year-round to participate. Summer-only programs are not eligible to enroll, as they would not be able to meet all eligibility requirements and be assigned a Quality Level before the program ends. (ABC Quality License Exempt Manual, Chapter 4 Eligibility Criteria to Participate, Section 4.1.2 Program Operations) Out-of-school programs that meet ABC Quality eligibility criteria are captured under the provider type of license-exempt center child care. Prevention and Control of Infectious Diseases ABC Quality Standard, Licensed Exempt Centers, Policy Manual section 4.2.6i 4.2.6.i Prevention and Control of Infectious Diseases Policy attendance at a child care facility may expose a child to an increased risk of acquiring infectious diseases. Many types of infectious germs may be contained in human waste (urine, feces) and bodily fluids (saliva, nasal discharge, tissue and injury discharges, eye discharges, blood, and vomit). The program must address how they will help to ensure that infectious diseases are prevented or minimized while children are in care. 1. The policy must address the following: a. Health observation of children daily. b. Separation of children who show symptoms of a communicable disease or infestation, e.g. pinkeye, lice, mumps, flu, etc. Include where child will be kept until parents arrive/how ratios met/contact of parents. c. Exclusion or dismissal of children who are ill, and what types of illnesses should preclude parents from bringing the child to the program (e.g., fever, flu, pinkeye, strep, etc.). d. Hand washing by children to prevent the spread of germs, e.g., after using the restroom, before eating meals/snacks, after handling animals, etc. e. Hand washing by staff: prior to preparing food; after contact with children while preparing food; after handling bodily fluids or after applying medication/ointments where there is a break in the skin; after handling exposed to an infectious disease. g. The program requires copies of immunization records for children who are homeschooled unless the parent provides a statement of religious exemption. Note: In SC, under the authority of the Department of Health and Environmental Control (DHEC), school districts are responsible for ensuring verification of immunization records for children age 5 and up. h. Cleaning/Disinfecting Schedule of the facility/areas where children are served. i. Staff health to include the current health assessment and TB test. 2. The program must contact ABC Quality when at least two or more children have a communicable disease. This may be reported via phone or email to your ABC Quality Assessor. 3. The program must follow its written policy. b. Provide the standards, appropriate to the provider setting and age of children, that address that children attending child care programs under CCDF are age-appropriately immunized, according to the latest recommendation for childhood immunizations of the respective State public health agency, for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: A health record shall be maintained in the center for each child enrolled, and it shall include a current South Carolina certificate of Immunizations in the record of the child. 114- 503G(6)(b). Immunization ABC Quality Standard, Center Based Policy Manual section 4.2.3i 4.2.3.i Prevention and Control of Infectious Diseases Policy Attendance at a child care facility may expose a child to an increased risk of acquiring infectious diseases. Many types of infectious germs may be contained in human waste (urine, feces) and bodily fluids (saliva, nasal discharge, tissue and injury discharges, eye discharges, blood, and vomit). The program must address how they will help to ensure that infectious diseases are prevented or minimized while children are in care. 1. The policy must address the following: a. Health observation of children daily. b. Separation of children who show symptoms of a communicable disease or infestation, e.g. pinkeye, lice, mumps, flu, etc. Include where child will be kept until parents arrive/how ratios met/contact of parents. c. Exclusion or dismissal of children who are ill, and what types of illnesses should preclude parents from bringing the child to the program (e.g., fever, flu, pinkeye, strep, etc.). d. Hand washing by children to prevent the spread of germs, e.g., after using the restroom, before eating meals/snacks, after handling animals, etc. e. Hand washing by staff: prior to preparing food; after contact with children while preparing food; after handling bodily fluids or after changing diapers or after applying medication/ointments where there is a break in the skin; after handling animals; after cleaning or handling the garbage. f. A procedure to notify parents when children have been exposed to an infectious disease. g. The program requires copies of immunization records for children who are homeschooled unless the parent provides a statement of religious exemption. Note: In SC, under the authority of the Department of Health and Environmental Control (DHEC), school districts are responsible for ensuring verification of immunization records for children age 5 and up. h. Cleaning/Disinfecting Schedule of the facility/areas where children are ABC Quality Center-based Manual (June 3, 2024) 15 served. i. Staff health to include the current health assessment and TB test. 2. The program must follow its written policy ii. All CCDF-eligible licensed family child care homes. Provide the standard: Large Family GCCH 114-513 G (6)(b) A health record shall be maintained in the group child care home for each child enrolled, and it shall include a current South Carolina Certificate of Immunization. Small Family Registered FCCH providers, Family Child Care Home Regulations 114-532 (F)(3)(b). Management, Administration, and Staffing, F. Child’s Records, Child’s health records ￿ The file shall contain the following: Copy of immunization card of the child indicating required immunizations are completed, in process, or that the child is exempt. Policy 21 (a) Requirements for child immunizations and/or exemption information for children receiving CCDF-funding (ABC Quality-enrolled) services. Immunization ABC Quality Standard, Family Child Care Home, Policy Manual section 4.2.3i 4.2.3.i Prevention and Control of Infectious Diseases Policy Attendance at a child care facility may expose a child to an increased risk of acquiring infectious diseases. Many types of infectious germs may be contained in human waste (urine, feces) and bodily fluids (saliva, nasal discharge, tissue and injury discharges, eye discharges, blood, and vomit). The program must address how they will help to ensure that infectious diseases are prevented or minimized while children are in care. 1. The policy must address the following: a. Health observation of children daily. b. Separation of children who show symptoms of a communicable disease or infestation, e.g. pinkeye, lice, mumps, flu, etc. Include where child will be kept until parents arrive/how ratios met/contact of parents. c. Exclusion or dismissal of children who are ill, and what types of illnesses should preclude parents from bringing the child to the program (e.g., fever, flu, pinkeye, strep, etc.). d. Hand washing by children to prevent the spread of germs, e.g., after using the restroom, before eating meals/snacks, after handling animals, etc. e. Hand washing by staff: prior to preparing food; after contact with children while preparing food; after handling bodily fluids or after changing diapers or after applying medication/ointments where there is a break in the skin; after handling animals; after cleaning or handling the garbage. f. A procedure to notify parents when children have been exposed to an infectious disease. g. The program requires copies of immunization records for children who are homeschooled unless the parent provides a statement of religious exemption. Note: In SC, under the authority of the Department of Health and Environmental Control (DHEC), school districts are responsible for ensuring verification of immunization records for children age 5 and up. h. Cleaning/Disinfecting Schedule of the facility/areas where children are ABC Quality Center-based Manual (June 3, 2024) 15 served. i. Staff health to include the current health assessment and TB test. 2. The program must follow its written policy iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Immunization ABC Quality Standard, Licensed Exempt Centers, Policy Manual section 4.2.6i 4.2.6.i Prevention and Control of Infectious Diseases Policy Attendance at a child care facility may expose a child to an increased risk of acquiring infectious diseases. Many types of infectious germs may be contained in human waste (urine, feces) and bodily fluids (saliva, nasal discharge, tissue and injury discharges, eye discharges, blood, and vomit). The program must address how they will help to ensure that infectious diseases are prevented or minimized while children are in care. 1. The policy must address the following: a. Health observation of children daily. b. Separation of children who show symptoms of a communicable disease or infestation, e.g. pinkeye, lice, mumps, flu, etc. Include where child will be kept until parents arrive/how ratios met/contact of parents. c. Exclusion or dismissal of children who are ill, and what types of illnesses should preclude parents from bringing the child to the program (e.g., fever, flu, pinkeye, strep, etc.). d. Hand washing by children to prevent the spread of germs, e.g., after using the restroom, before eating meals/snacks, after handling animals, etc. e. Hand washing by staff: prior to preparing food; after contact with children while preparing food; after handling bodily fluids or after applying medication/ointments where there is a break in the skin; after handling exposed to an infectious disease. g. The program requires copies of immunization records for children who are homeschooled unless the parent provides a statement of religious exemption. Note: In SC, under the authority of the Department of Health and Environmental Control (DHEC), school districts are responsible for ensuring verification of immunization records for children age 5 and up. h. Cleaning/Disinfecting Schedule of the facility/areas where children are served. i. Staff health to include the current health assessment and TB test. 2. The program must contact ABC Quality when at least two or more children have a communicable disease. This may be reported via phone or email to your ABC Quality Assessor. 3. The program must follow its written policy. ABC Quality License Exempt Policy Manual Section 13.6 Client Records An individual file should be kept on-site for each child enrolled through SC Scholarship. Information should include, but not be limited to, the following: b. Copy of immunization record for any child who is homeschooled, unless the parent provided a statement of religious exemption. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Immunization Standard, FFN Policy Manual section 4.2.11 4.2.11 Prevention and Control of Infectious Diseases Policy Care provided outside the child’s home may expose a child to an increased risk of acquiring infectious diseases for several reasons. Many types of infectious germs may be contained in human waste (urine, feces) and body fluids (saliva, nasal discharge, tissue and injury discharges, eye discharges, blood, and vomit). ￿CCDF Health and safety Requirements Brief # 1 ￿ Prevention and Control of Infectious Diseases16￿ https://childcareta.acf.hhs.gov/sites/default/files/public/infectious_disease_healt h_s afety_brief.pdf The provider must address how they will help to ensure that infectious diseases are prevented or minimized while children are in care. The policy should address: a. Required Immunizations and or proof of exemption b. Health observation of children daily. c. Separation of children who show symptoms of a communicable disease or infestation, e.g. pinkeye, Lice, mumps, etc. Include where child will be kept until parents arrive/ how ratios met/contact of parents. d. Exclusion or dismissal of children when ill, i.e. flu (what types of illness should preclude the parents from bringing the child to the provider, e.g. fever, flu, pinkeye, strep, etc.). e. Hand washing by children to prevent the spread of germs, e.g. after using the restroom and before eating meals/snacks; handling animals. f. Hand washing by provider and any emergency person: prior to preparing food; after contact with children while preparing food; after handling bodily fluids or after applying medication/ointments to where there is a break in the skin; handling animals; after cleaning or handling the garbage. g. A procedure to notify parents when children have been exposed to an infectious disease. h. Cleaning/Disinfecting Schedule of the home/areas where children are served. i. Staff health to include the health assessment. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Non-related FFN provider providing in home care must comply with the standard. Immunization Standard, FFN Policy Manual section 4.2.11 4.2.11 Prevention and Control of Infectious Diseases Policy Care provided outside the child’s home may expose a child to an increased risk of acquiring infectious diseases for several reasons. Many types of infectious germs may be contained in human waste (urine, feces) and body fluids (saliva, nasal discharge, tissue and injury discharges, eye discharges, blood, and vomit). ￿CCDF Health and safety Requirements Brief # 1 ￿ Prevention and Control of Infectious Diseases16￿ https://childcareta.acf.hhs.gov/sites/default/files/public/infectious_disease_healt h_s afety_brief.pdf The provider must address how they will help to ensure that infectious diseases are prevented or minimized while children are in care. The policy should address: a. Required Immunizations and or proof of exemption b. Health observation of children daily. c. Separation of children who show symptoms of a communicable disease or infestation, e.g. pinkeye, Lice, mumps, etc. Include where child will be kept until parents arrive/ how ratios met/contact of parents. d. Exclusion or dismissal of children when ill, i.e. flu (what types of illness should preclude the parents from bringing the child to the provider, e.g. fever, flu, pinkeye, strep, etc.). e. Hand washing by children to prevent the spread of germs, e.g. after using the restroom and before eating meals/snacks; handling animals. f. Hand washing by provider and any emergency person: prior to preparing food; after contact with children while preparing food; after handling bodily fluids or after applying medication/ointments to where there is a break in the skin; handling animals; after cleaning or handling the garbage. g. A procedure to notify parents when children have been exposed to an infectious disease. h. Cleaning/Disinfecting Schedule of the home/areas where children are served. i. Staff health to include the health assessment. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ABC Quality only allows license-exempt programs that operate during the school year or year-round to participate. Summer-only programs are not eligible to enroll, as they would not be able to meet all eligibility requirements and be assigned a Quality Level before the program ends. (ABC Quality License Exempt Manual, Chapter 4 Eligibility Criteria to Participate, Section 4.1.2 Program Operations) Out-of-school programs that meet ABC Quality eligibility criteria are captured under the provider type of license-exempt center child care. License-exempt center care serves children 5 years of age and older. In South Carolina children aged 5 years of age to 17 years old must attend school (SC Statute 59-65-10). SC Department of Health and Environmental Control monitors the adherence to immunizations requirements of children attending public school these records are maintained at the school the child attends (SC Code of Laws 44- 29-180). License-exempt center care that participate in ABC Quality must maintain copy of immunization record for any child who is homeschooled, unless provided a statement of religious exemption (ABC Quality License Exempt Manual, Chapter 13 Records, Section 13.6.b Client Records). Immunization ABC Quality Standard, Licensed Exempt Centers, Policy Manual section 4.2.6i 4.2.6.i Prevention and Control of Infectious Diseases Policy Attendance at a child care facility may expose a child to an increased risk of acquiring infectious diseases. Many types of infectious germs may be contained in human waste (urine, feces) and bodily fluids (saliva, nasal discharge, tissue and injury discharges, eye discharges, blood, and vomit). The program must address how they will help to ensure that infectious diseases are prevented or minimized while children are in care. 1. The policy must address the following: a. Health observation of children daily. b. Separation of children who show symptoms of a communicable disease or infestation, e.g. pinkeye, lice, mumps, flu, etc. Include where child will be kept until parents arrive/how ratios met/contact of parents. c. Exclusion or dismissal of children who are ill, and what types of illnesses should preclude parents from bringing the child to the program (e.g., fever, flu, pinkeye, strep, etc.). d. Hand washing by children to prevent the spread of germs, e.g., after using the restroom, before eating meals/snacks, after handling animals, etc. e. Hand washing by staff: prior to preparing food; after contact with children while preparing food; after handling bodily fluids or after applying medication/ointments where there is a break in the skin; after handling exposed to an infectious disease. g. The program requires copies of immunization records for children who are homeschooled unless the parent provides a statement of religious exemption. Note: In SC, under the authority of the Department of Health and Environmental Control (DHEC), school districts are responsible for ensuring verification of immunization records for children age 5 and up. h. Cleaning/Disinfecting Schedule of the facility/areas where children are served. i. Staff health to include the current health assessment and TB test. 2. The program must contact ABC Quality when at least two or more children have a communicable disease. This may be reported via phone or email to your ABC Quality Assessor. 3. The program must follow its written policy. ABC Quality License Exempt Policy Manual Section 13.6 Client Records An individual file should be kept on-site for each child enrolled through SC Scholarship. Information should include, but not be limited to, the following: b. Copy of immunization record for any child who is homeschooled, unless the parent provided a statement of religious exemption. 5.3.2 Prevention of sudden infant death syndrome and the use of safe-sleep practices health and safety standard Provide the standards, appropriate to the provider setting and age of children, that address the prevention of sudden infant death syndrome and use of safe sleeping practices for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: 114-507 D. (1-5) Rest equipment; 114-509 A. Infant and toddler care) (1) Stimulation and nurturing. (a) Children shall not remain in their cribs or play equipment for other than sleeping and specific, short time-limited quiet play Feeding, eating and drinking 114-509 (3) (c) Infants shall be held while being bottle fed until they are able to hold their own bottles. Bottles shall not be propped or given in cribs or on mats. 114-509 (3)(g) Infants and toddlers shall not sleep with bottles in their mouths. 114-509 A (5) (a- d) Sleeping (a) Infants shall be placed on their backs to sleep. (b) Crib mobiles shall not be permitted for infants or toddlers who can sit. (c) Cribs shall be spaced so that there is at least three feet of space on two sides of the crib. Cribs shall not be placed next to each other so that one child may reach into the other child’s crib. (d) Stacked cribs are not permitted. The Licensed Center regulations are currently being reviewed by the State Advisory Committee regarding safe sleep for revision. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Large Family GCCH 114-517 D. (1-5) Rest equipment; 114-519 A. (1) (a)Infant and toddler care (1) Stimulation and nurturing. (a) Children shall not remain in their cribs or play equipment for other than sleeping and specific, short time-limited quiet play 114-519 A. (3) Feeding, eating and drinking. (c) Infants shall be held while being bottle fed until they are able to hold their own bottles. Bottles shall not be propped or given in cribs or on mats. (g) Infants and toddlers shall not sleep with bottles in their mouths. 114-519 A. (5) Sleeping. (a) Infants shall be placed on their backs to sleep unless the parent provides a note from a physician specifying otherwise. (b) Crib mobiles shall not be permitted for infants or toddlers who can sit. (c) Stacked cribs are not permitted. The Large family regulations are being reviewed by the State Advisory Committee for revisions. Small Family -Family Child Care Home Regulation, 114-537. Infant Care. (A) Safe Sleep. B. Safe feeding (2). Licensed FCCH THE CARE OF THE CHILDREN, Suggested Standards C. Program Infant-Toddler Care. (4) Sleeping equipment including cribs for infants who have not yet begun to climb and low cots for the other children. In a facility with limited space in which cribs and other bulky equipment would leave too little area for floor space, individual floor pads are adequate, provided that the floors are clean, warm and free from drafts. Sleeping and Resting Equipment. Individual, comfortable and sanitary equipment for sleeping and resting shall be provided. a. Beds, Cots, Cribs, Mats. (1) For daytime rest and nap periods. A separate bed, cot, crib or mat shall be assigned each individual for use during rest or nap periods. If mats are used, they shall be made of waterproof washable material and shall be stored and handled in such a manner that the sleeping surface does not contact the floor. If linen is provided, it shall be clean and available for each individual user. b. Placement of Equipment. Placement of beds, cots, cribs, or mats shall allow staff to have ready access to each individual. Registered FCCH Policy 11 Children shall not sleep in rooms with the door closed to allow for proper supervision during nap time, even if a monitoring device is used. Policy 26 All infants (12 months and younger) must be placed on their backs to sleep and only sleep in a Consumer Product Safety Commission-approved crib (compliant with rule 16 CFR 1219 or 1220). The crib’s certificate of compliance must be kept. Policy 27 Each infant, toddler, 2-year-old, and preschool-aged child must be assigned a clean and developmentally appropriate crib, cot, or mat. Children may not sleep in a playpen. The Lead Agency is moving to revise and update the current statute (63-13-180) surrounding the suggested standard reference to align with the Family Child Care Home regulations for registered and licensed Family Child Care Homes in the 2025-26 Legislative Session. The Family Child Care Home regulations auto promulgated in May 2024, therefore, revising the statute will promote consistency and clarity among the registered and licensed child care home category. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: License- exempt center care must be licensed to serve children under the age of 5 years- old. To be eligible to participate in ABC Quality license-exempt center care can only serve children ages 5 years and older. SC Child Care Licensing law prohibits programs who are not licensed to serve children under the age of five even if they attend public school (ABC Quality License Exempt Manual, Chapter 4, Eligibility Criteria to Participate, Section 4.1.3.a). v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Prevention of Sudden Infant Death Syndrome and Use of Safe Sleeping Practices Policy The Policy must address: 1. Infants will not sleep/nap in car seats, pack n plays, swings, bouncers, bean bag chairs, etc. If the infant falls asleep in a swing or the parent brings the child car seat and they are asleep, they will be removed and placed in a crib. 2. Infants must be provided an age-appropriate crib that is approved by the US Consumer Product Safety Commission. 3. Infants must not be placed to sleep with pacifiers, bottles or bibs around their neck. 4. Infants up to 12 months of age must be placed on their back to sleep, unless an infant’s primary health care provider has completed a signed waiver indicating the child requires an alternate sleep position. 5. Soft or loose bedding must be kept away from sleeping infants. This includes loose fitting sheets, bumper pads, pillows, heavy blankets, and stuffed animals, etc. 4.2.13 Prevention of Sudden Infant Death Syndrome and Use of Safe Sleeping Practices Policy. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Non-related FFN providing in-home care must comply with this standard. Prevention of Sudden Infant Death Syndrome and Use of Safe Sleeping Practices Policy The Policy must address: 1. Infants will not sleep/nap in car seats, pack n plays, swings, bouncers, bean bag chairs, etc. If the infant falls asleep in a swing or the parent brings the child car seat and they are asleep, they will be removed and placed in a crib. 2. Infants must be provided an age-appropriate crib that is approved by the US Consumer Product Safety Commission. 3. Infants must not be placed to sleep with pacifiers, bottles or bibs around their neck. 4. Infants up to 12 months of age must be placed on their back to sleep, unless an infant’s primary health care provider has completed a signed waiver indicating the child requires an alternate sleep position. 5. Soft or loose bedding must be kept away from sleeping infants. This includes loose fitting sheets, bumper pads, pillows, heavy blankets, and stuffed animals, etc. 4.2.13 Prevention of Sudden Infant Death Syndrome and Use of Safe Sleeping Practices Policy. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ABC Quality only allows license-exempt programs that operate during the school year or year-round to participate. Summer-only programs are not eligible to enroll, as they would not be able to meet all eligibility requirements and be assigned a Quality Level before the program ends. (ABC Quality License Exempt Manual, Chapter 4 Eligibility Criteria to Participate, Section 4.1.2 Program Operations) Out-of-school programs that meet ABC Quality eligibility criteria are captured under the provider type of license-exempt center child care. License-exempt center care must be licensed to serve children under the age of 5 years-old. To be eligible to participate in ABC Quality license-exempt center care can only serve children ages 5 years and older. SC Child Care Licensing law prohibits programs who are not licensed to serve children under the age of five even if they attend public school (ABC Quality License Exempt Manual, Chapter 4, Eligibility Criteria to Participate, Section 4.1.3.a). 5.3.3 Administration of medication, consistent with standards for parental consent health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the administration of medication for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: South Carolina Code 63.13.185. (A-F) Child care facility medication administration to children, (A) For purposes of this section, ￿￿medication’’ means a drug that may be obtained with or without a prescription, excluding a topical ointment obtained without a prescription. (B) It shall be unlawful for a director, owner, operator, caregiver, employee, or volunteer of a childcare facility to administer medication to a child under the care of the facility unless: (1) the parent or guardian of the child has submitted to the childcare facility prior to the administration of the medication a signed and dated parental consent form that authorizes the facility to administer the medication to the child, and the authorization is for not longer than one year; (2) the medication is administered as stated on the label directions, or as amended in writing by the child’s health care provider; and (3) the medication is not expired. (C) Notwithstanding subsection (B), a director, owner, operator, caretaker, employee, or volunteer of a childcare facility may administer medication to a child without a signed authorization if the parent or guardian: (1) submits to the facility an authorization in an electronic format that is capable of being viewed and saved; or (2) authorizes the childcare facility by telephone to administer a single dose of a medication. (D) This section does not apply to a person who administers a medication as prescribed, directed, or intended, to a child, when that person has a good faith belief the child is suffering from a medical emergency and administering medication would prevent the death or serious injury of the child. (E) A childcare facility shall maintain in each child’s record all written documentation and records of verbal communication that confirm parental or guardian permission to administer medication to the minor child as required pursuant to this section. (F) A person who violates the provisions of this section is guilty of a misdemeanor and, upon conviction, may be imprisoned for up to one year or fined not more than two thousand dollars, or both. 114-503 F (e) 114-503. Management, Administration, and Staffing, Parent Access and Communication, Parents shall be provided with the following information upon admission, The policy and procedures for the administration of medications; 114-505 D. (1-4) Health, Sanitation and Safety, Medications or medical procedures, (1) Written, signed and dated parental consent is required prior to the administration of any prescription or over the counter medication or administration of special medical procedures: (a) All medications shall be used only for the child for whom the medication is labeled; (b) Medications shall not be given in excess of the recommended dose; and (c) Prescribed special medical procedures ordered for a specific child shall be written, signed, and dated by a physician or other legally authorized healthcare provider. (2) Storage of medications: (a) All medications shall be kept in their original labeled containers and have child protective caps. The child’s first and last name shall be on all medications; (b) All medications shall be stored in a separate locked container under proper conditions of sanitation, temperature, light, and moisture; and (c) Discontinued and expired medications shall not be used and shall be returned to the parent or disposed of in a safe manner. (3) Medication log: (a) For each medication that is administered by a staff person, a log shall be kept including the child’s name, the name of the medication, dosage, date, time and name of person administering the medication. This information shall be logged immediately following the administration of the medication and a copy provided to the child’s parent(s)/guardian(s). (4) Medication errors: (a) Medication errors, e.g. failure to administer a medication at the prescribed time, administering an incorrect dosage of medication or administering the wrong medication, shall be recorded in the child’s record; and (b) The parent shall be immediately notified and notified in writing of a medication error or a suspected adverse reaction to a medication. Administration of medication ABC Quality Standard, Center Based Policy Manual section 4.2.3a The program is required to have the following written policies and procedures. The program must follow these procedures as written and must communicate/train staff on these policies to ensure understanding and adherence. It is recommended these be included in employee orientation. These are based on regulations from the U. S. Department of Health and Human Services regarding the health and safety standards established by the CCDBG Act. These will be checked upon enrollment and at the annual visit: 4.2.3a Medication Policy If the program administers medication, the policy must address: a. The administration of any prescriptions or over the counter medication to children b. All medicine should be kept in the original container and labeled with the child’s name c. All medication must be locked and kept out of the reach of children d. Medication must only be used for the child in which the medicine is labeled and authorized e. Medication should only be given in the dosage specified on the label f. Written parental consent on file to administer the medication with the name of the medication, dosage, and times to be administered g. A medication log which shows the child’s name, name of medication, dosage, date, time, and name of person administering the medication h. Medication errors should be recorded, and parent/guardian informed immediately i. Procedure for emergency medications for allergic reactions j. Return any unused/expired medications to the parent/guardian k. Staff must wash hands before giving medication and after applying a medical ointment or cream in which a break in the skin (e.g. sores, cuts, or scrapes) may be encountered 2. Note: your policy could be that your program does not administer medication and/or the parent would have to come to the program to administer the medication. 3. The program must follow the policy as written. ii. All CCDF-eligible licensed family child care homes. Provide the standard: South Carolina Code 63.13.185 (A-F). Child care facility medication administration to children, (A) For purposes of this section, ￿￿medication’’ means a drug that may be obtained with or without a prescription, excluding a topical ointment obtained without a prescription. (B) It shall be unlawful for a director, owner, operator, caregiver, employee, or volunteer of a childcare facility to administer medication to a child under the care of the facility unless: (1) the parent or guardian of the child has submitted to the childcare facility prior to the administration of the medication a signed and dated parental consent form that authorizes the facility to administer the medication to the child, and the authorization is for not longer than one year; (2) the medication is administered as stated on the label directions, or as amended in writing by the child’s health care provider; and (3) the medication is not expired. (C) Notwithstanding subsection (B), a director, owner, operator, caretaker, employee, or volunteer of a childcare facility may administer medication to a child without a signed authorization if the parent or guardian: (1) submits to the facility an authorization in an electronic format that is capable of being viewed and saved; or (2) authorizes the childcare facility by telephone to administer a single dose of a medication. (D) This section does not apply to a person who administers a medication as prescribed, directed, or intended, to a child, when that person has a good faith belief the child is suffering from a medical emergency and administering medication would prevent the death or serious injury of the child. (E) A childcare facility shall maintain in each child’s record all written documentation and records of verbal communication that confirm parental or guardian permission to administer medication to the minor child as required pursuant to this section. (F) A person who violates the provisions of this section is guilty of a misdemeanor and, upon conviction, may be imprisoned for up to one year or fined not more than two thousand dollars, or both. Large Family GCCH 114-513 F (e) Management, Administration and Staffing, Parent Access and Communication, Parents shall be provided with the following information upon admission: The policy and procedures for the administration of medications. 114-515 D. (1-4) HEALTH, SANITATION AND SAFETY, Medications or medical procedures (1) Written, signed and dated parental consent is required prior to the administration of any prescription or over the counter medication or administration of special medical procedures. (a) All medications shall be used only for the child for whom the medication is labeled. (b) Medications shall not be given in excess of the recommended dose. (c) Prescribed special medical procedures ordered for a specific child shall be written, signed and dated by a physician or other legally authorized healthcare provider. (2) Storage of medications. (a) All medications shall be kept in their original labeled containers and have child protective caps. The child’s first and last name shall be on all medications. (b) All medications shall be stored in a separate locked container under proper conditions of sanitation, temperature, light, and moisture. (c) Discontinued and expired medications shall not be used and shall be returned to the parent or disposed of in a safe manner. (3) Medication log. (a) For each medication that is administered by a staff person, a log shall be kept including the child’s name, the name of the medication, dosage, date, time and name of person administering the medication. This information shall be logged immediately following the administration of the medication. (4) Medication errors. (a) Medication errors (e.g. failure to administer a medication at the prescribed time, administering an incorrect dosage of medication or administering the wrong medication) shall be recorded in the child’s record. (b) Written documentation that the medication was given shall be provided to the parent. (c) The parent shall be immediately notified of a medication error or a suspected adverse reaction to a medication. Small Family Licensed and Registered FCCH South Carolina Code 63.13.185. (A-F) Child care facility medication administration to children, (A) For purposes of this section, ￿￿medication’’ means a drug that may be obtained with or without a prescription, excluding a topical ointment obtained without a prescription. (B) It shall be unlawful for a director, owner, operator, caregiver, employee, or volunteer of a childcare facility to administer medication to a child under the care of the facility unless: (1) the parent or guardian of the child has submitted to the childcare facility prior to the administration of the medication a signed and dated parental consent form that authorizes the facility to administer the medication to the child, and the authorization is for not longer than one year; (2) the medication is administered as stated on the label directions, or as amended in writing by the child’s health care provider; and (3) the medication is not expired. (C) Notwithstanding subsection (B), a director, owner, operator, caretaker, employee, or volunteer of a childcare facility may administer medication to a child without a signed authorization if the parent or guardian: (1) submits to the facility an authorization in an electronic format that is capable of being viewed and saved; or (2) authorizes the childcare facility by telephone to administer a single dose of a medication. (D) This section does not apply to a person who administers a medication as prescribed, directed, or intended, to a child, when that person has a good faith belief the child is suffering from a medical emergency and administering medication would prevent the death or serious injury of the child. (E) A childcare facility shall maintain in each child’s record all written documentation and records of verbal communication that confirm parental or guardian permission to administer medication to the minor child as required pursuant to this section. (F) A person who violates the provisions of this section is guilty of a misdemeanor and, upon conviction, may be imprisoned for up to one year or fined not more than two thousand dollars, or both. Family Child Care Home Regulation for Small Family Child Care 114-532 D (e) Management, Administration and Staffing, Parent Access and Communication, Parents shall be provided with the following information upon admission: The policy and procedures for the administration of medications; 114-532 E. (1-6) Medication, (1) For purposes of this section, ￿medication￿ means any drug that may be obtained with or without a prescription, excluding a topical ointment obtained without a prescription. (2) The operator, caregiver, staff, or volunteer of a family child care home shall not administer medication to a child under the care of the family child care home unless: (a) The parent/guardian of the child has submitted to the family child care home, prior to the administration of the medication, a signed and dated parental consent form that authorizes the home to administer the medication to the child, and the authorization shall not be longer than one year at a time. (b) The medication shall be administered as stated on the label directions, or as amended, in writing by the child’s health care provider. (c) The medication shall not be expired. (3) Notwithstanding subsection (2), an operator, caregiver, staff, or volunteer of a family child care home may administer medication to a child without a signed authorization if the parent/guardian: (a) Submits to the family child care home an authorization in an electronic format that is capable of being viewed and saved; or (b) Authorizes the family child care home by telephone to administer a single dose of a medication. (4) This Section does not apply to a person who administers a medication, as prescribed, directed, or intended to a child when that person has a good faith belief that the child is suffering from a medical emergency and administering the medication would prevent the death or serious injury of the child. (5) A family child care home shall maintain in each child’s record all written documentation and records of verbal communication that confirm parental or guardian permission to administer medication to the child, as required pursuant to this section. (6) A medication log for each medication that is administered by a caregiver or staff person shall be kept, including the child’s name, the name of the medication, dosage, date, time, and name of person administering the medication. This information shall be logged immediately following the administration of the medication and a copy provided to the parent/guardian. 114-532 F (c) Child’s Record. Child’s health records ￿ The file shall contain the following: Written authorization from parent/guardian to administer medication, if applicable. Administration of medication ABC Quality Standard, Family and Group Child Care Home Policy Manual section 4.2.3a The program is required to have the following written policies and procedures. The program must follow these procedures as written and must communicate/train staff on these policies to ensure understanding and adherence. It is recommended these be included in employee orientation. These are based on regulations from the U. S. Department of Health and Human Services regarding the health and safety standards established by the CCDBG Act. These will be checked upon enrollment and at the annual visit: 4.2.3a Medication Policy If the program administers medication, the policy must address: a. The administration of any prescriptions or over the counter medication to children b. All medicine should be kept in the original container and labeled with the child’s name c. All medication must be locked and kept out of the reach of children d. Medication must only be used for the child in which the medicine is labeled and authorized e. Medication should only be given in the dosage specified on the label f. Written parental consent on file to administer the medication with the name of the medication, dosage, and times to be administered g. A medication log which shows the child’s name, name of medication, dosage, date, time, and name of person administering the medication h. Medication errors should be recorded, and parent/guardian informed immediately i. Procedure for emergency medications for allergic reactions j. Return any unused/expired medications to the parent/guardian k. Staff must wash hands before giving medication and after applying a medical ointment or cream in which a break in the skin (e.g. sores, cuts, or scrapes) may be encountered 2. Note: your policy could be that your program does not administer medication and/or the parent would have to come to the program to administer the medication. 3. The program must follow the policy as written. ABC Quality has created a policy template for Administration of Medication Policy to support programs ability to meet this standard. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Administration of medication ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6a 4.2.6.a Medication Policy If the program administers medication, the policy must address: 1. The administration of any prescriptions or over the counter medication to children. a. All medicine should be kept in the original container and labeled with the child’s name b. All medication must be locked and kept out of the reach of children c. Medication must only be used for the child in which the medicine is labeled and authorized d. Medication should only be given in the dosage specified on the label e. Written parental consent on file to administer the medication with the name of the medication, dosage, and times to be administered f. A medication log which shows the child’s name, name of medication, dosage, date, time, and name of person administering the medication g. Medication errors should be recorded, and parent/guardian informed immediately h. Procedure for emergency medications for allergic reactions. i. Return any unused/expired medications to the parent/guardian j. Staff must wash hands before giving medication and after applying a medical ointment or cream in which a break in the skin (e.g. sores, cuts, or scrapes) may be encountered. 2. Note: your policy could be that your program does not administer medication, and/or the parent would have to come to the program to administer the medication. 3. The program must follow the policy as written. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Administration of medication Standard, FFN Policy Manual section 4.2.5 4.2.5 Medication Policy The policy must address: a. The administration of any prescriptions or over the counter medication to children. b. Written parental consent to administer the medication with the name of the medication and dosage and times to be administered. c. Documentation of when medicine is given, including date, time and name of medicine. d. Staff must wash hands before giving medication and after applying a medical ointment or cream in which a break in the skin (e.g. sores, cuts, or scrapes) may be encountered. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Non-related FFN providing in home care must meet this standard. Administration of medication Standard, FFN Policy Manual section 4.2.5 4.2.5 Medication Policy The policy must address: a. The administration of any prescriptions or over the counter medication to children. b. Written parental consent to administer the medication with the name of the medication and dosage and times to be administered. c. Documentation of when medicine is given, including date, time and name of medicine. d. Staff must wash hands before giving medication and after applying a medical ointment or cream in which a break in the skin (e.g. sores, cuts, or scrapes) may be encountered. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ABC Quality only allows license-exempt programs that operate during the school year or year-round to participate. Summer-only programs are not eligible to enroll, as they would not be able to meet all eligibility requirements and be assigned a Quality Level before the program ends. (ABC Quality License Exempt Manual, Chapter 4 Eligibility Criteria to Participate, Section 4.1.2 Program Operations) Out-of-school programs that meet ABC Quality eligibility criteria are captured under the provider type of license-exempt center child care. Administration of medication ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6a 4.2.6.a Medication Policy If the program administers medication, the policy must address: 1. The administration of any prescriptions or over the counter medication to children. a. All medicine should be kept in the original container and labeled with the child’s name b. All medication must be locked and kept out of the reach of children c. Medication must only be used for the child in which the medicine is labeled and authorized d. Medication should only be given in the dosage specified on the label e. Written parental consent on file to administer the medication with the name of the medication, dosage, and times to be administered f. A medication log which shows the child’s name, name of medication, dosage, date, time, and name of person administering the medication g. Medication errors should be recorded, and parent/guardian informed immediately h. Procedure for emergency medications for allergic reactions. i. Return any unused/expired medications to the parent/guardian j. Staff must wash hands before giving medication and after applying a medical ointment or cream in which a break in the skin (e.g. sores, cuts, or scrapes) may be encountered. 2. Note: your policy could be that your program does not administer medication, and/or the parent would have to come to the program to administer the medication. 3. The program must follow the policy as written. b. Provide the standards, appropriate to the provider setting and age of children, that address obtaining permission from parents to administer medications to children for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: 114-505D. Health, Sanitation and Safety, Medications or medical procedures (1) Written, signed and dated parental consent is required prior to the administration of any prescription or over the counter medication or administration of special medical procedures. Permission from parents to administer medications ABC Quality Standard, Center Based Policy Manual section 4.2.3a 4.2.3a Medication Policy If the program administers medication, the policy must address: a. The administration of any prescriptions or over the counter medication to children b. All medicine should be kept in the original container and labeled with the child’s name c. All medication must be locked and kept out of the reach of children d. Medication must only be used for the child in which the medicine is labeled and authorized e. Medication should only be given in the dosage specified on the label f. Written parental consent on file to administer the medication with the name of the medication, dosage, and times to be administered g. A medication log which shows the child’s name, name of medication, dosage, date, time, and name of person administering the medication h. Medication errors should be recorded, and parent/guardian informed immediately i. Procedure for emergency medications for allergic reactions j. Return any unused/expired medications to the parent/guardian k. Staff must wash hands before giving medication and after applying a medical ointment or cream in which a break in the skin (e.g. sores, cuts, or scrapes) may be encountered 2. Note: your policy could be that your program does not administer medication and/or the parent would have to come to the program to administer the medication. 3. The program must follow the policy as written. Licensed center care that participates in ABC Quality must have policies and procedures in place that address the standard for administration of medication to children. These policies and procedures must include administration of prescription or over the counter medication, medication is in original container and labeled, medication must be locked and kept out of reach of children, medication is only used for child which is authorized to receive the medication, only the indicated/specified dosage on label is administered, written parental consent to administer medication on file, program maintains a medication log, parent/guardian are notified immediately if their child was involved in any errors of administration of medication, unused/expired medication is returned to parent/guardian, and staff wash hands before and after administration of medication. If the program does not administer medication, the program has a written policy informing parents/guardians that they do not administer medication. The program follows their policy as written. (ABC Quality Center- Based Manual, Chapter 4 Eligibility Criteria to Participate, 4.2.3.a. Medication Policy). ABC Quality has created a policy template for Administration of Medication Policy to support programs ability to meet this standard. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Child Care Licensing Law 63-13-185 (1) the parent or guardian of the child has submitted to the child care facility prior to the administration of the medication a signed and dated parental consent form that authorizes the facility to administer the medication to the child, and the authorization is for not longer than one year. 114-517 Large Family D. HEALTH, SANITATION AND SAFETY, Medications or medical procedures (1) Written, signed and dated parental consent is required prior to the administration of any prescription or over the counter medication or administration of special medical procedures. Small Family, Licensed FCCH and Registered Family Child Care Home Regulation for Small Family Child Care: 114- 532 D (e) Management, Administration and Staffing, Parent Access and Communication; 114-532 E. (2) Management, Administration, and Staffing, Medication, The parent/guardian of the child has submitted to the family child care home, prior to the administration of the medication, a signed and dated parental consent form that authorizes the home to administer the medication to the child, and the authorization shall not be longer than one year at a time. 114- 532 F 3 (c) Management, Administration, and Staffing, Child’s Record, Child’s health records ￿ The file shall contain the following: Written authorization from parent/guardian to administer medication, if applicable. Permission from parents to administer medications ABC Quality Standard, Family and Group Child Care Home, Policy Manual section 4.2.3a 4.2.3a Medication Policy If the program administers medication, the policy must address: a. The administration of any prescriptions or over the counter medication to children b. All medicine should be kept in the original container and labeled with the child’s name c. All medication must be locked and kept out of the reach of children d. Medication must only be used for the child in which the medicine is labeled and authorized e. Medication should only be given in the dosage specified on the label f. Written parental consent on file to administer the medication with the name of the medication, dosage, and times to be administered g. A medication log which shows the child’s name, name of medication, dosage, date, time, and name of person administering the medication h. Medication errors should be recorded, and parent/guardian informed immediately i. Procedure for emergency medications for allergic reactions j. Return any unused/expired medications to the parent/guardian k. Staff must wash hands before giving medication and after applying a medical ointment or cream in which a break in the skin (e.g. sores, cuts, or scrapes) may be encountered. 2. Note: your policy could be that your program does not administer medication and/or the parent would have to come to the program to administer the medication. 3. The program must follow the policy as written. ABC Quality has created a policy template for Administration of Medication Policy to support programs ability to meet this standard. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x]Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Permission from parents to administer medications ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6a 4.2.6.a Medication Policy If the program administers medication, the policy must address: 1. The administration of any prescriptions or over the counter medication to children. a. All medicine should be kept in the original container and labeled with the child’s name b. All medication must be locked and kept out of the reach of children c. Medication must only be used for the child in which the medicine is labeled and authorized d. Medication should only be given in the dosage specified on the label e. Written parental consent on file to administer the medication with the name of the medication, dosage, and times to be administered f. A medication log which shows the child’s name, name of medication, dosage, date, time, and name of person administering the medication g. Medication errors should be recorded, and parent/guardian informed immediately h. Procedure for emergency medications for allergic reactions. i. Return any unused/expired medications to the parent/guardian j. Staff must wash hands before giving medication and after applying a medical ointment or cream in which a break in the skin (e.g. sores, cuts, or scrapes) may be encountered. 2. Note: your policy could be that your program does not administer medication, and/or the parent would have to come to the program to administer the medication. 3. The program must follow the policy as written. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Permission from parents to administer medications Standard, FFN Policy Manual section 4.2.5 4.2.5 Medication Policy The policy must address: a. The administration of any prescriptions or over the counter medication to children. b. Written parental consent to administer the medication with the name of the medication and dosage and times to be administered. c. Documentation of when medicine is given, including date, time and name of medicine. d. Staff must wash hands before giving medication and after applying a medical ointment or cream in which a break in the skin (e.g. sores, cuts, or scrapes) may be encountered. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Non-related FFN providing in home care must meet this standard. Permission from parents to administer medications Standard, FFN Policy Manual section 4.2.5 4.2.5 Medication Policy The policy must address: a. The administration of any prescriptions or over the counter medication to children. b. Written parental consent to administer the medication with the name of the medication and dosage and times to be administered. c. Documentation of when medicine is given, including date, time and name of medicine. d. Staff must wash hands before giving medication and after applying a medical ointment or cream in which a break in the skin (e.g. sores, cuts, or scrapes) may be encountered. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ABC Quality only allows license-exempt programs that operate during the school year or year-round to participate. Summer-only programs are not eligible to enroll, as they would not be able to meet all eligibility requirements and be assigned a Quality Level before the program ends. (ABC Quality License Exempt Manual, Chapter 4 Eligibility Criteria to Participate, Section 4.1.2 Program Operations) Out-of-school programs that meet ABC Quality eligibility criteria are captured under the provider type of license-exempt center child care. Permission from parents to administer medications ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6a 4.2.6.a Medication Policy If the program administers medication, the policy must address: 1. The administration of any prescriptions or over the counter medication to children. a. All medicine should be kept in the original container and labeled with the child’s name b. All medication must be locked and kept out of the reach of children c. Medication must only be used for the child in which the medicine is labeled and authorized d. Medication should only be given in the dosage specified on the label e. Written parental consent on file to administer the medication with the name of the medication, dosage, and times to be administered f. A medication log which shows the child’s name, name of medication, dosage, date, time, and name of person administering the medication g. Medication errors should be recorded, and parent/guardian informed immediately h. Procedure for emergency medications for allergic reactions. i. Return any unused/expired medications to the parent/guardian j. Staff must wash hands before giving medication and after applying a medical ointment or cream in which a break in the skin (e.g. sores, cuts, or scrapes) may be encountered. 2. Note: your policy could be that your program does not administer medication, and/or the parent would have to come to the program to administer the medication. 3. The program must follow the policy as written. ABC Quality has created a policy template for Administration of Medication Policy to support program's ability to meet this standard. 5.3.4 Prevention of and response to emergencies due to food and allergic reactions health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the prevention of emergencies due to food and allergic reactions for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: 114-507 E. Physical site, Environmental hazards Environmental hazards (1) Poisons or harmful agents (a) Poisons or harmful agents shall be kept locked, stored in the original containers, labeled and inaccessible to children. (b) Poisons or harmful agents shall be purchased in childproof containers, if available. (c) Play materials, including arts and crafts, shall be non-poisonous. (d) Poisonous plants are not permitted. (e) Pesticides shall be of a type applied by a licensed exterminator in a manner approved by the United States Environmental Protection Agency. Pesticides shall be used in strict compliance with label instructions and should not be used while children are present. Pesticide containers shall be prominently and distinctly marked or labeled for easy identification of contents and stored in a secure site accessible only to authorized staff. 114-507 E 4(b) Physical Site, Environmental Hazards, Animals: The following requirements apply in regard to animals, Animals shall not be permitted if a child in the room or area is allergic to the specific type of animal. 114-508 A (9) Meal requirements, Dietary alternatives shall be available for a child who has special health needs or religious beliefs. Prevention of emergencies due to food and allergic reactions ABC Quality Standard, Center Based Policy Manual section 4.2.3b 4.2.3.b Emergency Medical Care Policy 1. The policy must address the following: a. Medical conditions under which emergency care and treatment is warranted due to allergic reactions b. Procedure to prevent emergencies due to allergic reactions, e.g., how will the program collect information of any child’s allergies, and how will this information be conveyed to staff along with information of what an allergic reaction might look like c. Steps to be followed if child has allergic reaction. Detailed information to include what medications should be administered per authorization of the parent, e.g., Epi Pen, Benadryl d. Notification to parents who might bring snacks or treats to the class of any particular foods to be avoided e. Steps to be followed in a medical emergency f. The hospital or source of health care to be utilized g. The method of transportation to be used h. An emergency staffing plan 2. The program must follow the policy as written ii. All CCDF-eligible licensed family child care homes. Provide the standard: Large Family GCCH) 114-517 E. PHYSICAL SITE. Environmental hazards (1) Poisons or harmful agents. (a) Poisons or harmful agents shall be kept locked, stored in the original containers, labeled and inaccessible to children. (b) Poisons or harmful agents shall be purchased in childproof containers, if available. (c) Play materials, including arts and crafts, shall be non-poisonous. (d) Poisonous plants are not permitted. (e) Pesticides shall be used in strict compliance with label instructions and should not be used while children are present. Pesticide containers shall be prominently and distinctly marked or labeled for easy identification of contents and stored in a secure site accessible only to authorized staff. 114-517 E (4)(b) Physical Site, Environmental Hazards, Animals: The following requirements apply in regard to animals: Animals shall not be permitted if a child in the room or area is allergic to the specific type of animal. 114-518 A (6). Meal requirements (6) Dietary alternatives shall be available for a child who has special health needs or religious beliefs. Small Family Licensed and Registered 114-535 D (3) & (4). Physical Site, Environmental Hazards (3) Poisons and harmful agents shall be kept locked, labeled, stored in original containers, and not accessible to children. (4) All cleaning supplies, detergents, and other potentially poisonous items shall be stored away from food items and shall not be accessible to children. POLICY FCCH 16: Upon a child’s enrollment, all Family Child Care Homes should obtain medical information on DSS Form 2909 about the risk of possible allergic reactions in children in their care. If a child has a known food or environmental allergy, a Health Action Plan should be provided to the Family Child Care Home from the child’s parent/guardian that describes how to respond to the reaction in that child. POLICY FCCH 17A: The Operator must obtain medical information, either from the child’s medical professional or the parent/guardian, if the child is at risk for allergic reactions. The Operator must have training on how to recognize and respond to mild, moderate, and severe allergic reactions. The facility’s emergency plan must explain how the Operator will respond to these allergic reactions. POLICY FCCH 23: Children shall be restricted from unsafe areas and conditions, such as hazardous materials, vehicular traffic, parking areas, ditches, and bodies of water. In addition, toxic substances must be stored out of the reach of children in a locked cabinet. Toxic substances or hazardous materials and bio contaminants including but not limited to chemicals, cleaning products, insecticides, gasoline products, etc. (a) Toxic substances must not used while children are present. (b) Flammable materials should be stored in a separate building or area away from high temperatures and ignition sources, inaccessible to children. (c) Toxic substances/hazards must be stored away from food and medication. (d) Poisonous plants must not be allowed in the home. (e) Chemicals used to control odors must not be allowed, e.g. moth balls, air fresheners, essential oils, toilet/urinal deodorizer blocks. (f) Procedures must be in place when the provider or an emergency person come in contact with bodily fluids resulting from a child injury or illness, or when changing diapers. Policy must include disposal of material that comes into contact with bodily fluids. Prevention of emergencies due to food and allergic reactions ABC Quality Standard, Family and Group Child Care Home Policy Manual section 4.2.3b 4.2.3.b Emergency Medical Care Policy 1. The policy must address the following: a. Medical conditions under which emergency care and treatment is warranted due to allergic reactions b. Procedure to prevent emergencies due to allergic reactions, e.g., how will the program collect information of any child’s allergies, and how will this information be conveyed to staff along with information of what an allergic reaction might look like c. Steps to be followed if child has allergic reaction. Detailed information to include what medications should be administered per authorization of the parent, e.g., Epi Pen, Benadryl d. Notification to parents who might bring snacks or treats to the class of any particular foods to be avoided e. Steps to be followed in a medical emergency f. The hospital or source of health care to be utilized g. The method of transportation to be used h. An emergency staffing plan 2. The program must follow the policy as written. ABC Quality has created policy template for Emergency Medical Care Policy (to include responses due to food and allergic reactions) to support programs ability to meet this standard. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: 5.3.4a Prevention of emergencies due to food and allergic reactions ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6b 4.2.6.b Emergency Medical Care Policy 1. The policy must address the following: a. Medical conditions under which emergency care and treatment is warranted due to allergic reactions. ￿ Procedure to prevent emergencies due to allergic reactions, e.g., how will the program collect information of any child’s allergies, and how will this information will be conveyed to staff along with information of what an allergic reaction might look like. b. Steps to be followed if child has allergic reaction. Detailed information to include what medications should be administered per authorization of the parent, e.g., Epi Pen, Benadryl c. Notification to parents who might bring snacks or treats to the class of any particular foods to be voided d. Steps to be followed in a medical emergency e. The hospital or source of health care to be utilized f. The method of transportation to be used g. An emergency staffing plan 2. The program must follow the policy as written. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Prevention of emergencies due to food and allergic reactions Standard, FFN Policy Manual section 4.2.6 4.2.6 Emergency Medical Policy The policy must address the following: a. Medical conditions under which emergency care and treatment is warranted (i.e. allergies, injury). b. Procedure to prevent emergencies due to allergic reactions, e.g. how will the program collect information of any child’s allergies, and how this information be conveyed to staff along with information of what an allergic reaction might look like. c. Steps to be followed if child has allergic reaction. Detailed information to include what medications should be administered per the parent, e.g. Epi Pen, Benadryl. d. Notification to parents who might bring snacks or treats to the class of any particular foods to be avoided. e. Steps to be followed in a medical emergency. f. The hospital or source of health care to be utilized. g. The method of transportation to be used. h. An emergency staffing plan. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Non-related FFN providing in home care must comply with this standard. Prevention of emergencies due to food and allergic reactions Standard, FFN Policy Manual section 4.2.6 4.2.6 Emergency Medical Policy The policy must address the following: a. Medical conditions under which emergency care and treatment is warranted (i.e. allergies, injury). b. Procedure to prevent emergencies due to allergic reactions, e.g. how will the program collect information of any child’s allergies, and how this information be conveyed to staff along with information of what an allergic reaction might look like. c. Steps to be followed if child has allergic reaction. Detailed information to include what medications should be administered per the parent, e.g. Epi Pen, Benadryl. d. Notification to parents who might bring snacks or treats to the class of any particular foods to be avoided. e. Steps to be followed in a medical emergency. f. The hospital or source of health care to be utilized. g. The method of transportation to be used. h. An emergency staffing plan. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ABC Quality only allows license-exempt programs that operate during the school year or year-round to participate. Summer-only programs are not eligible to enroll as they would not be able to meet all eligibility requirements and be assigned a Quality Level before the program ends. (ABC Quality License Exempt Manual, Chapter 4 Eligibility Criteria to Participate, Section 4.1.2 Program Operations) Out-of-school programs that meet ABC Quality eligibility criteria are captured under the provider type of license-exempt center child care. 5.3.4a Prevention of emergencies due to food and allergic reactions ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6b 4.2.6.b Emergency Medical Care Policy 1. The policy must address the following: a. Medical conditions under which emergency care and treatment is warranted due to allergic reactions. ￿ Procedure to prevent emergencies due to allergic reactions, e.g., how will the program collect information of any child’s allergies, and how will this information will be conveyed to staff along with information of what an allergic reaction might look like. b. Steps to be followed if child has allergic reaction. Detailed information to include what medications should be administered per authorization of the parent, e.g., Epi Pen, Benadryl c. Notification to parents who might bring snacks or treats to the class of any particular foods to be voided d. Steps to be followed in a medical emergency e. The hospital or source of health care to be utilized f. The method of transportation to be used g. An emergency staffing plan 2. The program must follow the policy as written. b. Provide the standards, appropriate to the provider setting and age of children, that address the response to emergencies due to food and allergic reactions for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: 114-503 G (7) (a-f) (8). Management, Administration, and Staffing. G. Child Record (7) (a-f) Emergency information for each child shall be easily and immediately accessible while at the center, during transportation, and during any trips away from the premises, and it shall include the following: (a) The full name of both parents/guardian, and updated address, work, home and mobile numbers where they can be reached during the time the child is in the center; (b) The name, address, telephone number and relationship of at least two individuals designated by the parents/guardian to be contacted in an emergency and who have the authority to obtain emergency medical treatment for the child; (c) The name, address and telephone number of the child’s physician, and the emergency care, medical and dental care provider; (d) Health insurance information; (e) Consent for emergency treatment; and (f) Permission to transport to hospital. (8) Emergency information shall be updated by the parent as changes occur. 114-505C. (1-3) Health, Sanitation and Safety, Emergency medical plan, (1) The center shall have an emergency medical plan to address the following: (a) Medical conditions under which emergency care and treatment is warranted; (b) Steps to be followed in a medical emergency; (c) The hospital or source of health care to be used; (d) The method of transportation to be used; and (e) An emergency staffing plan. (2) Emergency information for the child shall be taken with the child to the hospital or emergency location. (3) A staff person shall remain with the child at the hospital or emergency location until the parent arrives. Licensed center care programs that participate in ABC Quality must have policies in place that address the standard for responses to emergencies due to food and allergic reactions. The standard is Emergency Medical Care Policy to include food and allergic reactions. The policy must address medical conditions under which emergency care and treatment is warranted due to allergic reactions, steps to follow if child has an allergic reaction, notifications to families of foods not allowed in program, steps followed in a medical emergency, hospital/healthcare facility used, transportation method, and emergency staffing plan. The program must follow their policy as written. (ABC Quality Center-Based Manual, Chapter 4 Eligibility Criteria to Participate, 4.2.3.b. Emergency Medical Care Policy). ABC Quality has created policy template for Emergency Medical Care Policy (to include responses due to food and allergic reactions) to support programs ability to meet this standard. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Large Family GCCH 114-513 G(7) (a-d) (8) . MANAGEMENT, ADMINISTRATION, AND STAFFING G. Child Record (7) (a-d) Emergency information for each child, (7) Emergency information for each child shall be easily and immediately accessible while at the group child care home, during transportation, and during any trips away from the premises, and it shall include the following: (a) The full name of both parents/guardian, and updated address, work, home and mobile numbers where they can be reached during the time the child is in the group child care home; (b) The name, address, telephone number and relationship of at least two individuals designated by the parents/guardian to be contacted in an emergency and who have the authority to obtain emergency medical treatment for the child; (c) The name, address and telephone number of the child’s physician, and the emergency care medical and dental care provider; and (d) Health insurance information (8) Emergency information shall be updated by the parent as changes occur. Large family GCCH, 114-515 C. HEALTH, SANITATION AND SAFETY Emergency medical plan (1-3) Emergency medical plan (1) The group child care home shall have an emergency medical plan to address the following: (a) Medical conditions under which emergency care and treatment is warranted; (b) Steps to be followed in a medical emergency; (c) The hospital or source of health care to be used; (d) The method of transportation to be used; and (e) An emergency staffing plan. (2) Emergency information for the child shall be taken with the child to the hospital or emergency location. (3) A staff person shall remain with the child at the hospital or emergency location until the parent arrives. Small Family Licensed and registered FCCH 114-534 G (1) & (2). Health, Sanitation, and Safety, Emergency Medical Plan (1) The family child care home shall have an emergency medical plan in writing providing for emergency medical care of children requiring treatment away from the child care setting. (2) First aid: (a) The operator shall have a chart readily available that describes first aid emergency medical treatment techniques. (b) First aid supplies shall be available for the treatment of minor cuts and abrasions and stored out of the reach of children. 114-532 F (2) &( 3) (d). Management, Administration, and Staffing, F. Child’s Records (2) General records on the child - The file shall contain the following: (d) Names, addresses and telephone numbers of persons who can assume responsibility for the child in an emergency if the parent/guardian is unavailable; and (e) Name, address and telephone number of a physician and/or health care resource preferred by the parent/guardian. (3) Child’s health records ￿ The file shall contain the following: (d) Authorization from parent/guardian to transport child either to/from school, on field trips, and for emergency treatment; Registered Policy Number 16 Upon a child’s enrollment, all Family Child Care Homes should obtain medical information on DSS Form 2909 about the risk of possible allergic reactions in children in their care. If a child has a known food or environmental allergy, a Health Action Plan should be provided to the Family Child Care Home from the child’s parent/guardian that describes how to respond to the reaction in that child. POLICY FCCH 16: Upon a child’s enrollment, all Family Child Care Homes should obtain medical information on DSS Form 2909 about the risk of possible allergic reactions in children in their care. If a child has a known food or environmental allergy, a Health Action Plan should be provided to the Family Child Care Home from the child’s parent/guardian that describes how to respond to the reaction in that child. POLICY FCCH 17A: The Operator must obtain medical information, either from the child’s medical professional or the parent/guardian, if the child is at risk for allergic reactions. The Operator must have training on how to recognize and respond to mild, moderate, and severe allergic reactions. The facility’s emergency plan must explain how the Operator will respond to these allergic reactions. Response to emergencies due to food and allergic reactions ABC Quality Standard, Family and Group Child Care Home Policy Manual section 4.2.3b 4.2.3.b Emergency Medical Care Policy 1. The policy must address the following: a. Medical conditions under which emergency care and treatment is warranted due to allergic reactions b. Procedure to prevent emergencies due to allergic reactions, e.g., how will the program collect information of any child’s allergies, and how will this information be conveyed to staff along with information of what an allergic reaction might look like c. Steps to be followed if child has allergic reaction. Detailed information to include what medications should be administered per authorization of the parent, e.g., Epi Pen, Benadryl d. Notification to parents who might bring snacks or treats to the class of any particular foods to be avoided e. Steps to be followed in a medical emergency f. The hospital or source of health care to be utilized g. The method of transportation to be used h. An emergency staffing plan 2. The program must follow the policy as written. ABC Quality has created policy template for Emergency Medical Care Policy (to include responses due to food and allergic reactions) to support programs ability to meet this standard. iii. All CCDF-eligible licensed in-home care. Provide the standard:: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Response to emergencies due to food and allergic reactions ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6b 4.2.6.b Emergency Medical Care Policy 1. The policy must address the following: a. Medical conditions under which emergency care and treatment is warranted due to allergic reactions. b. Procedure to prevent emergencies due to allergic reactions, e.g., how will the program collect information of any child’s allergies, and how will this information will be conveyed to staff along with information of what an allergic reaction might look like. c. Steps to be followed if child has allergic reaction. Detailed information to include what medications should be administered per authorization of the parent, e.g., Epi Pen, Benadryl d. Notification to parents who might bring snacks or treats to the class of any particular foods to be voided e. Steps to be followed in a medical emergency f. The hospital or source of health care to be utilized g. The method of transportation to be used h. An emergency staffing plan 2. The program must follow the policy as written. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Response to emergencies due to food and allergic reactions Standard, FFN Policy Manual section 4.2.6 4.2.6 Emergency Medical Policy The policy must address the following: a. Medical conditions under which emergency care and treatment is warranted (i.e. allergies, injury). b. Procedure to prevent emergencies due to allergic reactions, e.g. how will the program collect information of any child’s allergies, and how this information be conveyed to staff along with information of what an allergic reaction might look like. c. Steps to be followed if child has allergic reaction. Detailed information to include what medications should be administered per the parent, e.g. Epi Pen, Benadryl. d. Notification to parents who might bring snacks or treats to the class of any particular foods to be avoided. e. Steps to be followed in a medical emergency. f. The hospital or source of health care to be utilized. g. The method of transportation to be used. h. An emergency staffing plan. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Non-related FFN providing in-home care must comply with this standard. Response to emergencies due to food and allergic reactions Standard, FFN Policy Manual section 4.2.6 4.2.6 Emergency Medical Policy The policy must address the following: a. Medical conditions under which emergency care and treatment is warranted (i.e. allergies, injury). b. Procedure to prevent emergencies due to allergic reactions, e.g. how will the program collect information of any child’s allergies, and how this information be conveyed to staff along with information of what an allergic reaction might look like. c. Steps to be followed if child has allergic reaction. Detailed information to include what medications should be administered per the parent, e.g. Epi Pen, Benadryl. d. Notification to parents who might bring snacks or treats to the class of any particular foods to be avoided. e. Steps to be followed in a medical emergency. f. The hospital or source of health care to be utilized. g. The method of transportation to be used. h. An emergency staffing plan. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ABC Quality only allows license-exempt programs that operate during the school year or year-round to participate. Summer-only programs are not eligible to enroll, as they would not be able to meet all eligibility requirements and be assigned a Quality Level before the program ends. (ABC Quality License Exempt Manual, Chapter 4 Eligibility Criteria to Participate, Section 4.1.2 Program Operations) Out-of-school programs that meet ABC Quality eligibility. Response to emergencies due to food and allergic reactions ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6b 4.2.6.b Emergency Medical Care Policy 1. The policy must address the following: a. Medical conditions under which emergency care and treatment is warranted due to allergic reactions. b. Procedure to prevent emergencies due to allergic reactions, e.g., how will the program collect information of any child’s allergies, and how will this information will be conveyed to staff along with information of what an allergic reaction might look like. c. Steps to be followed if child has allergic reaction. Detailed information to include what medications should be administered per authorization of the parent, e.g., Epi Pen, Benadryl d. Notification to parents who might bring snacks or treats to the class of any particular foods to be voided e. Steps to be followed in a medical emergency f. The hospital or source of health care to be utilized g. The method of transportation to be used h. An emergency staffing plan 2. The program must follow the policy as written. 5.3.5 Building and physical premises safety, including the identification of and protection from hazards, bodies of water, and vehicular traffic health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the identification of and protection from building and physical premises hazards for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: 114-500. General Provisions. C. Access to and within the center, and physical site accommodations and equipment, shall be provided for children with disabilities to meet their health and safety needs in accordance with applicable state and federal laws. 114- 504 D Supervision, Water safety staff, (1) The staffing ratios apply at all times while children are swimming or wading. The staffing ratios shall also apply at all times while children are near a water body that poses a potential risk based upon the age of the child, (2) All swimming activities shall be supervised by a person with current lifeguard training certification. If this is a staff person who has current lifeguard training certification, they may be included in the staff: child ratio. In instances in which all staff members can, without the ability to swim, quickly reach any child, a certified lifeguard is unnecessary. 114-505 HEALTH, SANITATION AND SAFETY. F. Diapering (1) Each room in which children who wear diapers are cared for shall have its own diaper-changing area adjacent to the hand-washing sink; H. Fire and emergency Preparedness (1-3), (1) Private and public child care centers shall comply with the regulations and codes of the State Fire Marshal. (2) In the event of a natural disaster or unscheduled closing of a child care center, the capacity may be exceeded temporarily to accommodate the displaced children. The director shall notify the Department of the situation and maintain appropriate staff:child ratios at all times. Required records shall be kept on file for the new enrollees. (3) The facility shall have an up to date written plan for evacuating in case of fire, a natural disaster, or other threatening situation that may pose a health or safety hazard. The facility shall also include procedures for staff training in this emergency plan. I. Transportation (1 and 2), (1) If the center provides or arranges for transportation through contract, the following transportation requirements apply: (a) The staffing ratios specified in 114-504.B.(1) through (3) apply. The driver of the vehicle shall not be counted in the ratios for infants or toddlers. (b) Each child shall be secured in an individual, age-appropriate safety restraint at all times the vehicle is in motion. (c) Safety restraints shall be used in accordance with the manufacturer’s instructions. (d) A child shall not be left unattended in a vehicle. (e) Transportation placement of children in the vehicle shall be in accordance with all applicable state and federal laws. (f) The driver shall have a valid regular or commercial driver's license and shall be in compliance with Section 63-13-40 of the South Carolina Code of Laws. (g) There shall be a first aid kit and emergency information on each child in the vehicle. (h) Use of tobacco products is prohibited in the vehicle. (i) Written consent from the parent is required prior to transportation. (j) When the facility provides transportation to and from the child's home, the facility staff shall be responsible for picking the child up and returning the child to a designated location. (k) The director and/or staff of the center shall provide the driver of the vehicle with a record that lists the name, address, and telephone number of the center, as well as names of children being transported. (2) The following requirements apply for safe pick-up and drop-off: (a) The center shall have safe crossways and pick-up and drop-off locations and communicate these locations to the parents. (b) Children shall be directly supervised during boarding and exiting vehicles. (c) The director and/or staff shall have on file, in the facility, written permission from parent(s)/guardian(s) for transporting children to and from the home, school, or other designated places, including center-planned field trips and activities. (d) Written transportation plans for routine travel shall be on file. Plans shall include a checklist to account for the loading and unloading of children at every location. 114-507. Entire Physical Site Section. A. Indoor space and conditions B. Outdoor space. C. Furniture, toys, and recreational equipment. D. Rest equipment. E. Environmental hazards. A. Indoor space and conditions (1) The director shall provide at least thirty-five (35) square feet of indoor play space per child, measured by Department staff from wall to wall. Department staff shall determine the total number of children to be cared for in each room by measuring and computing the rooms separately. Bathrooms, reception areas, isolation rooms, halls and space occupied by cupboards, shelves, furniture and equipment which are accessible to children for their use shall be allowable space. Kitchens, storage rooms, and storage cabinets used solely for or by staff shall be excluded. Halls, although included in total indoor space, shall not be used for activities or storage of furniture and equipment. (2) Ventilation (a) Child care areas, dining areas, kitchens, and bathrooms shall be ventilated by mechanical ventilation, such as fans or air conditioning, or at least one operable window. (b) If freestanding fans are used, fans shall have a stable base, be equipped with protective guards and be placed in a safe location. (c) Windows, including windows in doors, when utilized for ventilation purposes shall be securely screened to prevent the entrance of insects. (d) Windows accessible to children under 5 years of age that are above ground level of the building shall be adjusted to limit the opening to less than 6 inches or protected with guards that do not block outdoor light. (3) Safety glass shall be used on clear glass windows and doors that are within thirty-two inches above floor level and that are accessible to children. Decals shall be applied to all glass or sliding patio doors and placed at eye level of the children being cared for at the facility. (4) Lighting (a) Rooms, hallways, interior stairs, outside steps, outside doorways, porches, ramps, and fire escapes shall be lighted. (b) At least twenty foot candles of light shall be required on all work surfaces in food preparation, equipment washing, utensil washing, hand-washing areas, and toilet rooms. (c) Adequate, safe lighting for individual activities, for corridors, and for bathrooms shall be provided. (5) Environmental hazards (a) Safety barriers shall be placed around all heating and cooling sources, such as hot water pipes, fixed space heaters, wood- and coal-burning stoves, hot water heaters, and radiators, that are accessible to children to prevent accidents or injuries upon contact by the child. (b) Knives, lighters, matches, projectile toys, tobacco products, microwave ovens, and other items that could be hazardous to children shall not be accessible to children. (c) To prevent lead poisoning in children, child care centers shall meet applicable lead base paint requirements, as established by the South Carolina Department of Health and Environmental Control (DHEC), pursuant to South Carolina Code annotated Section 44-53-1310, et seq., and Regulation Number (61-85). (d) Floors, walls, ceilings, windows, doors and other surfaces shall be free from hazards such as peeling paint, broken or loose parts, loose or torn flooring or carpeting, pinch and crush points, sharp edges, splinters, exposed bolts and openings that could cause head or limb entrapment. (e) The use of sinks, equipment, and utensil-washing sinks, or food preparation sinks for the cleaning of garbage and refuse containers, mops or similar wet floor cleaning tools, and for the disposal of mop water or similar liquid waters is prohibited. (f) Children shall not be present in the area during construction or remodeling and not in the immediate area during cleaning or in such a manner as to create a condition that might result in an accident or cause harm to the health and safety of the children. (g) The following items shall be secured or inaccessible to children for whom they are not age appropriate: (i) Items that may cause strangulation such as blind cords, plastic bags, necklaces, and drawstrings on clothing and string; (ii) Items that may cause suffocation such as sand, beanbag chairs, pillows, soft bedding, and stuffed animals; and (iii) Items that may cause choking such as materials smaller than 1 ¼ inch in diameter, items with removable parts smaller than 1 ¼ inch in diameter, Styrofoam objects and latex balloons. (6) Water Supply (a) The water supply shall meet applicable requirements for water quality and testing in accordance with DHEC. (b) The center shall have hot and cold water under pressure. (Forty PSI recommended) If water is unavailable for four hours, a center must close. (c) Hot water shall meet current DHEC regulations for Retail Food Establishments: 61-25. (d) Safe drinking water shall be available to children at all times and there shall be no use of common drinking cups. (e) If a water fountain is available, it shall be of an angle-jet design, maintained in good repair and kept sanitary. There shall be no possibility of mouth or nose submersion. (f) Ice used for any purpose shall be made from water from an approved source. The ice shall be handled and stored in a sanitary manner. (7) Temperature (a) Temperature shall be maintained between 68 and 80 degrees Fahrenheit as appropriate to the season while children are present in the center. If temperature cannot be maintained in this range for more than four hours, the center must close. (b) Caution shall be used with regards to weather and the length of time children are outside when the wind chill factor is below 20 degrees Fahrenheit or the heat index is above 95 degrees Fahrenheit. (8) Sanitation (a) Clean and sanitary conditions shall be maintained indoors and outdoors, including indoor and outdoor recreational equipment and furnishings. (b) Measures to control insects, rodents, and other vermin shall be taken to prevent harborage, breeding, and infestation of the premises. (c) All solid wastes shall be disposed of at sufficient frequencies and in such a manner not to create a rodent, insect, or vermin problem. (d) Trash in diapering areas shall be kept in closed, hands-free operated, plastic lined receptacles in good repair. (e) Trash in kitchen areas shall be kept in closed, plastic lined receptacles. (f) Trash in children’s restrooms, classrooms, and eating areas shall be kept in plastic lined receptacles. (g) Trash receptacles outside the building, shall be watertight with firm fitting lids that prevent the penetration of insects and rodents. (h) Trash disposal and sewage system construction and usage shall be in accordance with local standards and ordinances. (i) The use of child care room, bathroom, or kitchen sinks for cleaning of trash receptacles or cleaning equipment is prohibited. (9) Doors (a) Protective gates shall be of the type that do not block emergency entrances and exits and that prevent finger pinching and head or limb entrapment. (10) Landings, stairs, handrails, and railings (a) Children shall not have access to a door that swings open to a descending stairwell or outside steps, unless there is a landing that is at least as wide as the doorway at the top of the stairs. (b) Each ramp and each interior stairway and outside steps exceeding two steps shall be equipped with a secure handrail at the height appropriate for the sizes of the children at the center. (c) Stairs shall have a nonskid surface. (d) Each porch and deck that has over an 18-inch drop shall have a well-secured railing. (e) Interior stairs that are not enclosed shall have a barrier to prevent falls. (11) Electrical sources (a) The center shall be connected with an electrical source. (b) Electrical outlets and fixtures shall be connected to the electrical source in a manner that meets local electrical codes, as certified by an electrical code inspector. ￿ NFPA 70 and 99 Compliance. (c) Electrical outlets shall be securely covered with childproof covers or safety plugs when not in use in all areas accessible to children. (d) No electrical device accessible to children shall be located so that it could be plugged into the outlet while in contact with a water source, such as sinks, tubs, shower areas, or swimming/wading pools, unless ground fault devices are utilized. (12) Bathrooms (a) There shall be at least one flush toilet for every 20 children over two years of age. Staff shall be included when determining availability of toilets if there are no staff rest rooms. (b) If seat adapters are used for toilet training, they shall be cleaned and sanitized after each use. (c) Toilet training equipment shall be provided to children who are being toilet trained. (d) There shall be at least one sink with running water under pressure for every 20 children over two years of age. Sinks shall be located in or near each toilet area. It is recommended that water be a minimum of 60 degrees Fahrenheit. (e) Toilets and sinks shall be at heights accessible to the children using them or shall be equipped with safe and sturdy platforms or steps. (f) Privacy shall be provided for toilets used by preschool and school age children. (g) Floor and wall surfaces in the toilet area shall have smooth, washable surfaces. Carpeting is not permitted in the toilet area. (h) Toilets, toilet seat adapters, sinks and restrooms shall be cleaned at least daily and shall be in good repair. (i) Liquid or granular soap and disposable towels shall be provided at each sink. (j) Children shall not be left unattended in a bathtub or shower. (k) Easily cleanable receptacles shall be provided for waste material. Toilet rooms used by women shall be provided with at least one covered waste receptacle. (l) Bathroom facilities shall be completely enclosed. B. Outdoor space (1) The director shall provide at least seventy-five (75) square feet of outdoor play space per child. Where outdoor space is insufficient at the center, the director and/or staff may take the children outdoors in shifts or utilize parks or other outdoor play areas which meet safety requirements, and which are easily accessible. (2) The outdoor space shall be free from hazards and litter. (3) Outdoor walkways shall be free from debris, leaves, ice, snow, and obstruction. (4) Children shall be restricted from unsafe areas and conditions such as traffic, parking areas, ditches, and steep slopes by a fence or natural barrier that is at least four feet high. (5) Outdoor recreational equipment shall meet the standards of the US Consumer Products Safety Commission (CPSC), if applicable. Recalled products listed by the CPSC shall not be accessible to children. (6) Outdoor recreational equipment shall be made of durable, non-rusting, non- poisonous materials, and shall be sturdy. (7) Stationary outdoor equipment shall be firmly anchored and shall not be placed on a concrete or asphalt surface. (8) Swings shall be located to minimize accidents and shall have soft and flexible seats. (9) Cushioning material such as mats, wood chips or sand shall be used under climbers, slides, swings, and large pieces of equipment. Cushioning material shall extend at least six (6) feet beyond the equipment and swings. (10) Slides shall have secure guards along both sides of the ladder and placed in a shaded area. (11) Outdoor metal equipment that is uncoated shall be located in shaded areas or otherwise protected from the sun. Teachers shall check the temperature by touch prior to children playing on it. (12) Outdoor equipment shall be arranged so that children can be seen at all times. (13) A properly fitting bicycle helmet that is approved by American National Standards Institute, Snell Memorial Foundation, or American Society for Testing and Materials, shall be worn by each child when riding a bicycle, skateboard, roller blades, or skates. Helmets are optional for use with tricycles. C. Furniture, toys, and recreational equipment shall: (1) Be clean and free from hazards such as broken or loose parts, rust or peeling paint, pinch or crush points, unstable bases, sharp edges, exposed bolts, and openings that could cause head or limb entrapment; (2) Meet the standards of the US Consumer Products Safety Commission (CPSC), if applicable. Recalled products listed by the CPSC shall not be accessible to children; (3) Be developmentally and size appropriate, accommodating the maximum number of children involved in an activity at any one time; (4) Playpens are not allowed in licensed care. (5) All arts and crafts and play materials shall be nontoxic; (6) The height of play equipment shall be developmentally and size appropriate; (7) Sand in a sand box shall be securely covered when not in use and, if outdoors, constructed to provide for drainage; (8) Indoor recreational equipment and furnishings shall be cleaned and disinfected when they are soiled or at least once weekly and shall be of safe construction and free of sharp edges and loose or rusty points. D. Rest equipment (1) Cribs shall meet the requirements of the US Consumer Products Safety Commission (CPSC). (2) Each infant, toddler, two year old and preschool child shall be assigned an individual, clean, and developmentally appropriate crib, cot, or mat appropriately labeled with the child’s name and/or charted and used only by that child. (3) Cribs, cots, and mats shall be made of easily cleanable material. (4) Placement of sleeping and napping equipment shall allow ready access to each child by staff. (5) Individual, clean, appropriate coverings shall be provided. (6) Cots and mats shall be stored so that the surface on which a child lies does not touch the floor. E. Environmental hazards (1) Poisons or harmful agents (a) Poisons or harmful agents shall be kept locked, stored in the original containers, labeled and inaccessible to children. (b) Poisons or harmful agents shall be purchased in childproof containers, if available. (c) Play materials, including arts and crafts, shall be non-poisonous. (d) Poisonous plants are not permitted. (e) Pesticides shall be of a type applied by a licensed exterminator in a manner approved by the United States Environmental Protection Agency. Pesticides shall be used in strict compliance with label instructions and should not be used while children are present. Pesticide containers shall be prominently and distinctly marked or labeled for easy identification of contents and stored in a secure site accessible only to authorized staff. (2) Water hazards (a) Swimming pools located at the center or used by the center shall conform to the regulations of DHEC for construction, use, and maintenance. (b) Swimming pools, stationary wading pools and other water sources such as ditches, streams, ponds, and lakes shall be made inaccessible to children by a secure fence that is at least 4 feet high; exits and entrances shall have self-closing, positive latching gates with locking devices. (c) Children shall not be permitted in hot tubs, spas, or saunas. (d) Children shall not be permitted to play in areas where there are swimming pools or other water sources without constant supervision. (3) Firearms, weapons, and ammunition are not permitted in the center or on the premises without the express permission of the authorities in charge of the premises or property. This does not apply to a guard, law enforcement officer, or member of the armed forces, or student of military science. (4) Animals: The following requirements apply in regard to animals: (a) Healthy animals which present no apparent threat to the health and safety of the children shall be permitted, provided they are cleaned, properly housed, fed and cared for and have had required vaccinations, as appropriate. Live animals shall be excluded from areas where food for human consumption is stored, prepared or served. (b) Animals shall not be permitted if a child in the room or area is allergic to the specific type of animal. (c) Animal litter and waste shall not be accessible to children. (d) Reptiles and rodents shall not be accessible to children. (e) Children and adults shall wash their hands after touching animals. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Large Family Child Care, Group Child Care Homes, 114-510. GENERAL PROVISIONS. C. Access to and within the group child care home, and physical site accommodations and equipment, shall be provided for children with disabilities to meet their health and safety needs in accordance with applicable state and federal laws. C. Water safety staffing (1), (1) The following staffing ratios apply at all times while children are swimming, wading or near a water source. The staffing ratios shall also apply at all times while children are near a water body that poses a potential risk based upon the age of the child. 114-515. HEALTH, SANITATION AND SAFETY. F. Diapering (1) (7) (1) Diaper changing procedures shall be consistent with those recommended by the Center for Disease Control and Prevention. (2) Diapering surfaces shall be clean, seamless, waterproof and sanitary. (3) Blood contaminated materials and diapers shall be discarded in a plastic bag with a secure tie. Surfaces contaminated with blood or blood-containing body fluids shall be cleaned with an approved solution of chlorine bleach and water. (4) Individual disposable wipes shall be used at each diaper change and shall be placed in a plastic -lined, covered container and disposed of properly, and kept out the reach of children. (5) Soiled disposable diapers and disposable wipes shall be kept in a closed, labeled hands-free operated, plastic lined receptacle within reach of diaper changing area separate from other trash. Soiled non-disposable diapers shall be kept in a sealed plastic bag after feces shall be disposed of through the sewage. (6) Staff shall check diapers and clothing at a frequency that ensures prompt changing of diapers and clothing. (7) No child shall be left unattended while being diapered.; H. Fire and emergency Preparedness (1-3), (1) Group child care homes shall comply with the regulations and codes of the State Fire Marshal. (2) The group child care home shall have an up to date written plan for evacuating in case of fire, a natural disaster or threatening situation that may pose a health or safety hazard. The group child care home shall also include procedures for staff training in this emergency plan. (3) Portable heat sources will be used according to the manufacturers’ instructions and kept in good working order and out of the reach of children. I. Transportation (1 and 2), (1) If the operator provides or arranges for transportation, the following transportation requirements apply: (a) The staffing ratios specified in 114-514A(2) apply. The driver of the vehicle shall not be counted in the ratios; (b) Transportation and placement of children shall be in accordance with state and federal laws; (c) A child shall not be left unattended in a vehicle; (d) The driver shall have a valid regular or commercial driver's license and shall be in compliance with Section 20-7-2725A(4) of the Code of Laws of 1976; (e) Use of tobacco products is prohibited in the vehicle; and (f) Written consent from the parent is required prior to transportation. (2) The following requirements apply for safe pick-up and drop-off: (a) The group child care home shall have safe crossways and designated pick-up and drop-off locations and communicate these locations to the parents; and (b) Children shall be supervised during boarding and exiting vehicles. 114-517. PHYSICAL SITE (entire section), A. Indoor space and conditions, B. Outdoor space, C. Furniture, toys, and recreational equipment, D. Rest equipment, E. Environmental hazards. A. Indoor space and conditions (1) The operator shall provide at least thirty-five (35) square feet of indoor play space per child, measured by Department staff from wall to wall. Bathrooms, reception areas, isolation rooms, halls and space occupied by cupboards, shelves, furniture and equipment which are accessible to children for their use shall be allowable space. Kitchens, storage rooms and storage cabinets used solely for or by staff shall be excluded. Halls, although included in total indoor space, shall not be used for activities or storage of furniture and equipment. (2) Ventilation. (a) Child care areas, dining areas, kitchens, and bathrooms shall be ventilated by mechanical ventilation, such as fans or air conditioning, or at least one operable window. (b) If freestanding fans are used, fans shall have a stable base, be equipped with protective guards and be placed in a safe location. (c) Windows, including windows in doors, when utilized for ventilation purposes shall be securely screened to prevent the entrance of insects. (3) Safety glass shall be used on clear glass windows and doors that are within thirty-two inches above floor level and that are accessible to children. Decals shall be applied to all glass or sliding patio doors and placed at eye level of the children being cared for at the group child care home. (4) Lighting. (a) Rooms, hallways, interior stairs, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted. (b) At least twenty foot candles of light shall be required on all work surfaces in food preparation, equipment washing, utensil washing, hand-washing areas, and toilet rooms. (c) Adequate, safe lighting for individual activities, for corridors, and for bathrooms shall be provided. (5) Environmental hazards. (a) Safety barriers shall be placed around all heating and cooling sources, such as hot water pipes, fixed space heaters, wood- and coal-burning stoves, hot water heaters, and radiators, that are accessible to children to prevent accidents or injuries upon contact by the child. (b) Knives, lighters, matches, projectile toys, tobacco products, microwave ovens and other items that could be hazardous to children shall not be accessible to children. (c) To prevent lead poisoning in children, group child care homes shall meet applicable lead base paint requirements, as established by DHEC. (d) Floors, walls, ceilings, windows, doors and other surfaces shall be free from hazards such as peeling paint, broken or loose parts, loose or torn flooring or carpeting, pinch and crush points, sharp edges, splinters, exposed bolts and openings that could cause head or limb entrapment. (e) The use of sinks, equipment and utensil-washing sinks, or food preparation sinks for the cleaning of garbage and refuse containers and the cleaning of mops or similar wet floor cleaning tools and for the disposal of mop water or similar liquid waters is prohibited. (f) Children shall not be present in the area during construction or remodeling and not in the immediate area during cleaning or in such a manner as not to create a condition that might result in an accident or cause harm to the health and safety of the children. (g) Microwave ovens shall be inaccessible to children. (h) The following items shall be secured or inaccessible to children for whom they are not age appropriate: (i) Items that may cause strangulation such as blind cords, plastic bags, necklaces, and drawstrings on clothing and string; (ii) Items that may cause suffocation such as sand, beanbag chairs, pillows, soft bedding, and stuffed animals; and (iii) Items that may cause choking such as materials smaller than 1 ¼ inch in diameter, items with removable parts smaller than 1 ¼ inch in diameter, Styrofoam objects and latex balloons. (6) Water supply. (a) The water supply shall meet applicable requirements for water quality and testing in accordance with DHEC. (b) The group child care home shall have hot and cold water under pressure. (Forty PSI recommended.) If an individual private well water supply is used, the operator shall obtain approval pursuant to DHEC to ensure safe location, construction, and proper maintenance and operation of the system. (c) The hot water supply shall meet applicable requirements of DHEC. (d) Safe drinking water shall be available to children at all times and there shall be no use of common drinking cups. (e) If a water fountain is available, it shall be of an angle-jet design, maintained in good repair and kept sanitary. There shall be no possibility of mouth or nose submersion. (f) Ice used for any purpose shall be made from water from an approved source. The ice shall be handled and stored in a sanitary manner. (7) Temperature. (a) Temperature shall be maintained between 68 and 80 degrees Fahrenheit as appropriate to the season while children are present in the group child care home. (b) When outdoor temperature exceeds 90 degrees Fahrenheit, caution shall be used when children are involved in outdoor physical activities. (8) Sanitation. (a) Clean and sanitary conditions shall be maintained indoors and outdoors, including indoor and outdoor recreational equipment and furnishings. (b) Measures to control insects, rodents, and other vermin shall be taken to prevent harborage, breeding, and infestation of the premises. (c) All solid wastes shall be disposed of at sufficient frequencies and in such a manner not to create a rodent, insect, or vermin problem. (d) Trash in diapering areas shall be kept in closed, hands-free operated, plastic lined receptacles in good repair. (e) Trash in kitchen areas shall be kept in closed, plastic lined receptacles. (f) Trash in children’s restrooms, classrooms, and eating areas shall be kept in plastic lined receptacles. (g) Trash receptacles outside the building, shall be watertight with firm fitting lids that prevent the penetration of insects and rodents. (h) Trash disposal and sewage system construction and usage shall be in accordance with local standards and ordinances. (i) The use of child care room, bathroom, or kitchen sinks for cleaning of trash receptacles or cleaning equipment is prohibited. (9) Doors. (a) Protective gates shall be of the type that do not block emergency entrances and exits and that prevent finger pinching and head or limb entrapment. (10) Landings, stairs, handrails, and railings. (a) Children shall not have access to a door that swings open to a descending stairwell or outside steps, unless there is a landing that is at least as wide as the doorway at the top of the stairs. (b) Each ramp and each interior stairway and outside steps exceeding two steps shall be equipped with a secure handrail at the height appropriate for the sizes of the children at the group child care home. (c) Stairs shall have a nonskid surface. (d) Each porch and deck that has over an 18-inch drop shall have a well-secured railing. (e) Interior stairs that are not enclosed shall have a barrier to prevent falls. (11) Electrical sources. (a) The group child care home shall be connected with an electrical source. (b) Electrical outlets and fixtures shall be connected to the electrical source in a manner that meets local electrical codes, as certified by an electrical code inspector. (c) Electrical outlets shall be securely covered with childproof covers or safety plugs when not in use in all areas accessible to children. (d) No electrical device accessible to children shall be located so that it could be plugged into the outlet while in contact with a water source, such as sinks, tubs, shower areas, or swimming/wading pools. (12) Bathrooms. (a) There shall be at least one flush toilet. (b) If seat adapters are used for toilet training, they shall be cleaned and sanitized after each use. (c) Toilet training equipment shall be provided to children who are being toilet trained. (d) There shall be at least one sink with hot and cold running water under pressure in or near each toilet area. (e) Toilets and sinks shall be at heights accessible to the children using them or shall be equipped with safe and sturdy platforms or steps. (f) Toilets, toilet seat adapters, sinks and restrooms shall be cleaned at least daily and shall be in good repair. (g) Liquid or granular soap and disposable towels shall be provided at each sink. (h) Children shall not be left unattended in a bathtub or shower. (i) Easily cleanable receptacles shall be provided for waste material. B. Outdoor space (1) The outdoor space shall be free from hazards and litter. (2) Outdoor walkways shall be free from debris, leaves, ice, snow, and obstruction. (3) Children shall be restricted from unsafe areas and conditions such as traffic, parking areas, ditches, and steep slopes by a fence or natural barrier that is at least four feet high. C. Furniture, toys, and recreational equipment shall meet the following requirements: (1) Be clean and free from hazards such as broken or loose parts, rust or peeling paint, pinch or crush points, unstable bases, sharp edges, exposed bolts, and openings that could cause head or limb entrapment. (2) Meet the standards of the U.S. Consumer Products Safety Commission (CPSC), if applicable. Recalled products listed by the CPSC shall not be accessible to children. (3) Be developmentally and size appropriate, accommodating the maximum number of children involved in an activity at any one time. (4) The sides of playpens shall remain latched as long as a child is using the playpen. If playpens are used, they shall have waterproof, washable, comfortable pads. (5) All arts and crafts and play materials shall be nontoxic. (6) Outdoor recreational equipment shall be made of durable, non-rusting, non- poisonous materials, and shall be sturdy. (7) Stationary outdoor equipment shall be firmly anchored and shall not be placed on a concrete or asphalt surface. Cushioning material such as mats, wood chips or sand shall be used under climbers, slides, swings, and large pieces of equipment. (8) Swings shall be located to minimize accidents and shall have soft and flexible seats. (9) Cushioning material shall extend at least six (6) feet beyond the equipment and swings. (10) Slides shall have secure guards along both sides of the ladder and placed in a shaded area. (11) Outdoor metal equipment shall be located in shaded areas or otherwise protected from the sun. (12) Outdoor equipment shall be arranged so that children can be seen at all times. (13) The height of play equipment shall be developmentally and size appropriate. (14) Sand in a sand box shall be securely covered when not in use and, if outdoors, constructed to provide for drainage. (15) Indoor recreational equipment and furnishings shall be cleaned and disinfected when they are soiled or at least once weekly and shall be of safe construction and free of sharp edges and loose or rusty points. Indoor recreational equipment and furnishings shall be clean and shall be of safe construction and free of sharp edges and loose or rusty points. (16) A properly fitting bicycle helmet that is approved by American National Standards Institute, Snell Memorial Foundation, or American Society for Testing and materials, shall be worn by each child when riding a bicycle, skateboard, roller blades, or skates. Helmets are optional for use with tricycles. D. Rest equipment (1) Cribs shall meet the specification of the CPSC. (2) Individual, clean, developmentally appropriate cribs, cots, or mats shall be provided for each infant, toddler, and preschool child, labeled with the child’s name and used only by that child. (3) Cribs, cots, and mats shall be made of easily cleanable material. (4) Placement of sleeping and napping equipment shall allow ready access to each child by staff. (5) Individual, clean, appropriate coverings shall be provided. (6) Cots and mats shall be stored so that the surface on which a child lies does not touch the floor. E. Environmental hazards (1) Poisons or harmful agents. (a) Poisons or harmful agents shall be kept locked, stored in the original containers, labeled and inaccessible to children. (b) Poisons or harmful agents shall be purchased in childproof containers, if available. (c) Play materials, including arts and crafts, shall be non-poisonous. (d) Poisonous plants are not permitted. (e) Pesticides shall be used in strict compliance with label instructions and should not be used while children are present. Pesticide containers shall be prominently and distinctly marked or labeled for easy identification of contents and stored in a secure site accessible only to authorized staff. (2) Water hazards. (a) Swimming pools located at the group child care home or used by the group child care home shall conform to the regulations of DHEC for construction, use and maintenance. (b) Swimming pools, stationary wading pools and other water sources such as ditches, streams, ponds, and lakes shall be made inaccessible to children by a secure fence that is at least 4 feet high; exits and entrances shall have self-closing, positive latching gates with locking devices. (c) Children shall not be permitted in hot tubs, spas, or saunas. (d) Children shall not be permitted to play in areas where there are swimming pools or other water sources without constant supervision. (3) Firearms, weapons, and ammunition are to be kept in a locked drawer or cabinet. (4) Animals: The following requirements apply in regard to animals: (a) Healthy animals which present no apparent threat to the health and safety of the children shall be permitted, provided they are cleaned, properly housed, fed and cared for and have had required vaccinations, as appropriate; (b) Animals shall not be permitted if a child in the room or area is allergic to the specific type of animal; (c) Animal litter and waste shall not be accessible to children; and (d) Reptiles and rodents shall not be accessible to children without adult supervision Small Family, Registered Family Child Care Regulations, 114-534. Health, Sanitation, and Safety. A. Child Health and Safety, C. Sanitation, (1) Clean and sanitary conditions shall be maintained indoors and outdoors, including indoor and outdoor recreational equipment. (2) The operator and/or caregiver shall ensure children’s faces and hands are clean. (3) The family child care home and premises shall be situated, equipped, and maintained as needed in order to safeguard the health of the users. (4) The family child care home shall follow approved sanitary methods of disposal of wastes. D. Water Supply (1) The water supply shall meet bacteriological, chemical, and physical requirements for water quality and testing in accordance with DHEC. 16 (2) If water is unavailable for four (4) hours, an operator shall contact the Department and may be required to close. (3) Safe drinking water shall be available to children at all times and there shall be no use of common drinking cups. If disposable cups are used, they shall be stored to prevent contamination prior to use. F. Emergency Preparedness, (1) Family child care homes shall have a written emergency preparedness plan to evacuate the home in case of fire, natural disaster or threatening situation that may pose a health or safety hazard that is posted for all staff and parents to see. This plan shall be regularly tested. (2) The operator shall have a written emergency plan. This plan shall include naming the emergency person to be summoned quickly to assist in an emergency. (3) Emergency telephone numbers and information shall be posted, including the name/contact information of the emergency person. H. Diapering, (1) Family child care homes caring for infants shall provide a non- porous sanitizable surface. Only a solution of bleach and water shall be used to sanitize the diaper changing surface after each diapering. (2) Diapers shall be checked for wetness and feces at least hourly and whenever the child exhibits discomfort. Soiled diapers shall be changed immediately. (3) Soiled diapers shall be placed in a plastic-lined, covered, leak-proof container which shall be emptied and cleaned daily. (4) Children’s hands shall be washed with soap and water after each diapering. In the case of infants, hands may be cleaned with single-use pre- moistened towels. 114-536 114-535, Physical Site. A. Indoor Space, B. Non-Infant Sleeping and Resting, C. Outdoor Space, D. Environmental Hazards, A. Indoor Space(1) Home structure (a) Floors, walls and ceilings shall be kept clean, in good repair and free from hazards. 17 (b) All rooms shall be adequately lighted and ventilated. Lights and ventilation systems shall comply with the local and/or state building codes. (c) There shall be areas protected from general walkways within the family child care home where crawling children can be on the floor to explore. (d) Interior stairs that are not enclosed shall have a barrier to prevent falls and shall have a nonskid surface. (e) Electrical outlets shall be covered with a child proof cover, safety plug, or other safety barrier to prevent electrical shock when not in use. (2) Furniture, toys, and recreational equipment shall meet the following requirements: (a) Furnishings and toys shall be of safe construction, free from sharp edges and loose or rusty points. (b) Playpens and Pack n’ Plays are not permitted. (c) Mobile walkers are not permitted. (d) No toys accessible to infants and toddlers shall be small enough to swallow. (e) Products recalled by the Consumer Product Safety Commission shall not be accessible to children. (3) Animals are permitted as long as they do not pose an apparent threat to the health of the children, are cleaned, are housed properly, are fed, and have the required vaccinations. (a) Children and caregivers shall wash their hands thoroughly after contact with animals. (b) Animal litter and waste shall not be accessible to children. (c) Reptiles, amphibians, and rodents shall not be accessible to children. B. Non-Infant Sleeping and Resting (1) Individual, comfortable and sanitary equipment for sleeping and resting shall be provided. (2) Beds, cots and mats shall be made of easily cleanable material. (3) Placement of beds, cots, or mats shall allow caregivers to have ready access to each individual child. C. Outdoor Space (1) Outside space shall be free from hazards and litter. (2) Outside space shall be restricted by fence or barrier if near unsafe areas such as traffic, parking areas, ditches, body of water, or steep slope. (3) Access to swimming pools and wading pools shall be controlled by a device or method that promotes safety of children, including a latch, lock, protective fence, protective cover, or other device or method which enhances child safety. (4) Outside stairs, walkways, ramps, and porches used by the children shall be maintained free from accumulations of water, ice, or snow. (5) Decals shall be applied to all glass or sliding patio doors and placed at eye level of the children being cared for in the family child care home. (6) Outside play equipment shall be clean, in good repair, and free from hazards. (7) A properly fitting bicycle helmet shall be worn by each child when riding a bicycle, skateboard, roller skate blades or skates. D. Environmental Hazards (1) Safety barriers shall be placed around all heating and cooling sources, such as hot water pipes, fireplaces, fixed space heaters, wood and coal-burning stoves, hot water heaters, and radiators that are accessible to children to prevent accidents or injuries upon contact by the child. (2) Knives, lighters, matches, projectile toys, tobacco products, microwave ovens and other items that could be hazardous to children shall not be accessible to children. (3) Poisons and harmful agents shall be kept locked, labeled, stored in original containers, and not accessible to children. (4) All cleaning supplies, detergents, and other potentially poisonous items shall be stored away from food items and shall not be accessible to children. (5) Firearms, weapons, and ammunition shall be kept in a locked drawer or cabinet and shall not be kept in a room where children are cared for in the family child care home. Family Child Care Providers Policy Manual, Policy 23 Children should be restricted from unsafe areas, and conditions, such as hazardous materials, vehicular traffic, parking areas, ditches, and bodies of water. In addition, Toxic substances must be stored out of the reach of children in a locked cabinet. Toxic substances or hazardous materials and bio contaminants including but not limited to chemicals, cleaning products, insecticides, gasoline products, etc. (a) Toxic substances must not be used while children are present. (b) Flammable materials should be stored in a separate building or area away from high temperatures and ignition sources, inaccessible to children. (c) Toxic substances/hazards must be stored away from food and medication. (d) Poisonous plants must not be allowed in the home. (e) Chemicals used to control odors must not be allowed, e.g. moth balls, air fresheners, essential oils, toilet/urinal deodorizer blocks. (f) Procedures must be in place when the provider or an emergency person comes in contact with bodily fluids resulting from a child injury or illness, or when changing diapers. Policy must include disposal of material that comes into contact with bodily fluids. FCCH Policy Manual 24 Transportation, If the Family Child Care Home provides or arranges for transportation through contract, the following transportation requirements apply: • Each child shall be secured in an individual, age-appropriate safety restraint at all times when the vehicle is in motion. • Safety restraints shall be used in accordance with the manufacturer’s instructions. • A child shall not be left unattended in a vehicle. • The driver shall have a valid regular or commercial driver's license and shall be in compliance with Section 63-13-40 of the South Carolina Code of Laws. • There shall be a first aid kit and emergency health and contact information for each child in the vehicle. • Use of tobacco products is prohibited in the vehicle. • Written consent from each child’s parent/guardians are required prior to transporting any children. • When the Family Child Care Home provides transportation to and from a child's home, the staff shall be responsible for picking the child up and returning the child to a designated location. • The director and/or staff of the Family Child Care Home shall provide the driver of the vehicle with a record that lists the name, address, and telephone number of the Family Child Care Home and the names of each child being transported. The following requirements apply to ensure a safe pick-up and drop- off: • Children shall be directly supervised during the boarding and exiting of vehicles. • The operator shall have on file, in the Family Child Care Home, written permission from the parent(s)/guardian(s) to transport children to and from the Family Child Care Home, school, or other designated places, including planned field trips and activities. •Written transportation plans for routine travel shall be on file. Plans shall include a checklist to account for the loading and unloading of children at every location. FCCH Policy 25 Environment hazards, Family Child Care Home Providers must adhere to the following: (a) Poisons or harmful agents shall be stored in their original containers that are labeled and in a locked area that is inaccessible to children. (b) Poisons or harmful agents shall be purchased in childproof containers, if available. (c) Play materials, including arts and crafts, shall be non- poisonous. (d) Poisonous plants are not permitted in a Family Child Care Home, (e) Pesticides applied at a Family Child Care Home shall be of a type applied by a licensed exterminator in a manner approved by the United States Environmental Protection Agency. i) Pesticides shall be used in strict compliance with label instructions and should not be used while children are present. ii)Pesticide containers shall be prominently and distinctly marked or labeled for easy identification of contents and stored in a secure site inaccessible to children. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Identification of and protection from building and physical premises hazards ABC Quality Standard, License Exempt Center Policy Manual section 7.2.7b 7.2.7 b Outdoor Environment a. The playground or other areas used by children are free of trash and litter. b. The building and physical premises are safe for the presence and care of children. This includes the identification of and prevention of hazards that can cause bodily injury, such as electrical hazards, vehicular traffic, and bodies of water. c. Playground areas must be kept safe, e.g., grass kept cut; no fire ants; poisonous plants removed; no poisons/chemicals (bug spray, insecticides, gasoline, etc.; no standing water; sharp objects such as nails removed; fence in good repair with no gaps or openings; and no large overhanging tree limbs that are broken which could fall and cause injury, etc. d. Playground equipment must be safe, firmly anchored, meet the US Consumer Products Safety Commission (CPSC), and be rated for commercial use. e. Cushioning material such as mats, wood chips, or sand shall be used under climbers, slides, swings, and large pieces of equipment. Cushioning material shall extend at least six (6) feet beyond the equipment and swings. f. Children shall be restricted from unsafe areas and conditions (such as traffic, parking areas, ditches, and steep slopes) by a fence or natural barrier that is at least 4 feet in height. g. The use of hot tubs, spas, and saunas are prohibited. h. The use of trampolines is prohibited. i. The use of inflatable houses, or inflatable water slides, etc., are prohibited. j. Any on-site water source (ponds, swimming pools, streams, etc.) must be made inaccessible to children by a secure fencing that is at least 4 feet high; exits and entrances shall have self-closing, positive latching gates with locking devices. k. A First Aid Kit must be brought outdoors when children are present or stored outdoors in a secure locked location. It must include an Epi Pen prescribed by a doctor for any child that requires one. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Identification of and protection from building and physical premises hazards Standard, FFN Policy Manual section 4.2.15 4.2.15 Physical Safety of the Home and Premises The policy must address ways to ensure that the indoor and outdoor environments remain free of hazards that could be harmful to children. Including the following items: Indoor: a. Home is free from hazards and litter. b. Healthy animals which present no apparently threat to the health and safety of children shall be permitted, provided they are clean, properly houses, fed and cared for, and have the required current vaccinations, as appropriate. c. Smoking, consumption of alcoholic beverages, or use of other nonprescription narcotic or illegal substances are prohibited on the premises (indoor or outdoor) or while transporting children during the time children are in care. d. How the following are kept locked or out of children’s reach: medications, cleaning supplies/hazardous materials, caregiver’s purse, objects (knives/scissors), illegal drugs, weapons, miscellaneous that could harm children (e.g. hot glue gun, iron) Outdoor: Provides for the safety of the building and physical premises, including the identification of and protection from hazards that can cause bodily injury, such as electrical hazards, vehicular traffic, and bodies of water. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Non-related FFN providing in-home care must comply with standard. Identification of and protection from building and physical premises hazards Standard, FFN Policy Manual section 4.2.15 4.2.15 Physical Safety of the Home and Premises The policy must address ways to ensure that the indoor and outdoor environments remain free of hazards that could be harmful to children. Including the following items: Indoor: a. Home is free from hazards and litter. b. Healthy animals which present no apparently threat to the health and safety of children shall be permitted, provided they are clean, properly houses, fed and cared for, and have the required current vaccinations, as appropriate. c. Smoking, consumption of alcoholic beverages, or use of other nonprescription narcotic or illegal substances are prohibited on the premises (indoor or outdoor) or while transporting children during the time children are in care. d. How the following are kept locked or out of children’s reach: medications, cleaning supplies/hazardous materials, caregiver’s purse, objects (knives/scissors), illegal drugs, weapons, miscellaneous that could harm children (e.g. hot glue gun, iron) Outdoor: Provides for the safety of the building and physical premises, including the identification of and protection from hazards that can cause bodily injury, such as electrical hazards, vehicular traffic, and bodies of water. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ABC Quality only allows license-exempt programs that operate during the school year or year-round to participate. Summer-only programs are not eligible to enroll, as they would not be able to meet all eligibility requirements and be assigned a Quality Level before the program ends. (ABC Quality License Exempt Manual, Chapter 4 Eligibility Criteria to Participate, Section 4.1.2 Program Operations) Out-of-school programs that meet ABC Quality eligibility criteria are captured under the provider type of license-exempt center child care. Identification of and protection from building and physical premises hazards ABC Quality Standard, License Exempt Center Policy Manual section 7.2.7b 7.2.7 b Outdoor Environment a. The playground or other areas used by children are free of trash and litter. b. The building and physical premises are safe for the presence and care of children. This includes the identification of and prevention of hazards that can cause bodily injury, such as electrical hazards, vehicular traffic, and bodies of water. c. Playground areas must be kept safe, e.g., grass kept cut; no fire ants; poisonous plants removed; no poisons/chemicals (bug spray, insecticides, gasoline, etc.; no standing water; sharp objects such as nails removed; fence in good repair with no gaps or openings; and no large overhanging tree limbs that are broken which could fall and cause injury, etc. d. Playground equipment must be safe, firmly anchored, meet the US Consumer Products Safety Commission (CPSC), and be rated for commercial use. e. Cushioning material such as mats, wood chips, or sand shall be used under climbers, slides, swings, and large pieces of equipment. Cushioning material shall extend at least six (6) feet beyond the equipment and swings. f. Children shall be restricted from unsafe areas and conditions (such as traffic, parking areas, ditches, and steep slopes) by a fence or natural barrier that is at least 4 feet in height. g. The use of hot tubs, spas, and saunas are prohibited. h. The use of trampolines is prohibited. i. The use of inflatable houses, or inflatable water slides, etc., are prohibited. j. Any on-site water source (ponds, swimming pools, streams, etc.) must be made inaccessible to children by a secure fencing that is at least 4 feet high; exits and entrances shall have self-closing, positive latching gates with locking devices. k. A First Aid Kit must be brought outdoors when children are present or stored outdoors in a secure locked location. It must include an Epi Pen prescribed by a doctor for any child that requires one. b. Provide the standards, appropriate to the provider setting and age of children, that address the identification of and protection from bodies of water for the following CCDF- eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: 114-504. Supervision. D. Water safety staffing, (1) The following staffing ratios apply at all times while children are swimming or wading. The staffing ratios shall also apply at all times while children are near a water body that poses a potential risk based upon the age of the child. 114-507. A. Physical Site (11) Electrical sources (d), (d) No electrical device accessible to children shall be located so that it could be plugged into the outlet while in contact with a water source, such as sinks, tubs, shower areas, or swimming/wading pools, unless ground fault devices are utilized. E. Environmental hazards (2) Water hazards, (a) Swimming pools located at the center or used by the center shall conform to the regulations of DHEC for construction, use, and maintenance. (b) Swimming pools, stationary wading pools and other water sources such as ditches, streams, ponds, and lakes shall be made inaccessible to children by a secure fence that is at least 4 feet high; exits and entrances shall have self-closing, positive latching gates with locking devices. (c) Children shall not be permitted in hot tubs, spas, or saunas. Identification of and protection from bodies of water ABC Quality Standard, Center Based Policy Manual section 4.2.3e 4.2.3.e. Swimming Policy (if applicable) 1. The policy must address the following: a. Ratios to be maintained during swimming activities. b. Prohibition on the use of hot tubs, spas or saunas. c. Any on-site water source (if applicable), such as a swimming pool, stationary wading pool, or other water sources such as ditches, streams, ponds or lakes, will be made inaccessible to children by a secure fencing that is at least 4 feet high; exits and entrances shall have self-closing, positive latching gates with locking devices. d. Swimming activities must be supervised by a certified Lifeguard. The program is responsible for verification of certification. (The Lifeguard cannot be counted in the child: staff ratios unless they are employed by the program and meet the background checks and eligibility criteria). e. Swimming pools located at the center or used by the center should conform to the regulations of DHEC for construction, use, and maintenance ii. All CCDF-eligible licensed family child care homes. Provide the standard: Large Family (Group Child Care Homes), 114-514. SUPERVISION. C. Water safety staffing, (1) The following staffing ratios apply at all times while children are swimming, wading or near a water source. The staffing ratios shall also apply at all times while children are near a water body that poses a potential risk based upon the age of the child. 114-517. PHYSICAL SITE. A. Indoor Space (11) Electrical sources (d), (d) No electrical device accessible to children shall be located so that it could be plugged into the outlet while in contact with a water source, such as sinks, tubs, shower areas, or swimming/wading pools. E. Environmental hazards, (2) Water hazards, (a) Swimming pools located at the group child care home or used by the group child care home shall conform to the regulations of DHEC for construction, use and maintenance. (b) Swimming pools, stationary wading pools and other water sources such as ditches, streams, ponds, and lakes shall be made inaccessible to children by a secure fence that is at least 4 feet high; exits and entrances shall have self-closing, positive latching gates with locking devices. (c) Children shall not be permitted in hot tubs, spas, or saunas. (d) Children shall not be permitted to play in areas where there are swimming pools or other water sources without constant supervision. Small Family Child Care Homes Regulations 114-535. Physical Site. C. Outdoor Space (2-4), (2) Outside space shall be restricted by fence or barrier if near unsafe areas such as traffic, parking areas, ditches, body of water, or steep slope. (3) Access to swimming pools and wading pools shall be controlled by a device or method that promotes safety of children, including a latch, lock, protective fence, protective cover, or other device or method which enhances child safety. (4) Outside stairs, walkways, ramps, and porches used by the children shall be maintained free from accumulations of water, ice, or snow. Family Child Care Home Policy Manual. Policy FCCH 10, The operator and/or staff must be on the same floor level as the children during inside play time and nap time. Also, the operator and/or staff must be present with the children when they are outside and while children are being transported. Children must be constantly supervised and never left alone during all water activities. Policy FCCH 23, Children shall be restricted from unsafe areas and conditions, such as hazardous materials, vehicular traffic, parking areas, ditches, and bodies of water. In addition, Toxic substances must be stored out of the reach of children in a locked cabinet. Toxic substances or hazardous materials and bio contaminants including but not limited to chemicals, cleaning products, insecticides, gasoline products, etc. Identification of and protection from bodies of water ABC Quality Standard, Family and Group Child Care Home Policy Manual section 4.2.3e 4.2.3.e. Swimming Policy (if applicable) 1. The policy must address the following: a. Ratios to be maintained during swimming activities. b. Prohibition on the use of hot tubs, spas or saunas. c. Any on-site water source (if applicable), such as a swimming pool, stationary wading pool, or other water sources such as ditches, streams, ponds or lakes, will be made inaccessible to children by a secure fencing that is at least 4 feet high; exits and entrances shall have self-closing, positive latching gates with locking devices. d. Swimming activities must be supervised by a certified Lifeguard. The program is responsible for verification of certification. (The Lifeguard cannot be counted in the child: staff ratios unless they are employed by the program and meet the background checks and eligibility criteria). e. Swimming pools located at the center or used by the center should conform to the regulations of DHEC for construction, use, and maintenance. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Identification of and protection from bodies of water ABC Quality Standard, License Exempt Center Policy Manual section 7.2.7b 7.2.7 Outdoor Environment a. The playground or other areas used by children are free of trash and litter. b. The building and physical premises are safe for the presence and care of children. This includes the identification of and prevention of hazards that can cause bodily injury, such as electrical hazards, vehicular traffic, and bodies of water. c. Playground areas must be kept safe, e.g., grass kept cut; no fire ants; poisonous plants removed; no poisons/chemicals (bug spray, insecticides, gasoline, etc.; no standing water; sharp objects such as nails removed; fence in good repair with no gaps or openings; and no large overhanging tree limbs that are broken which could fall and cause injury, etc. d. Playground equipment must be safe, firmly anchored, meet the US Consumer Products Safety Commission (CPSC), and be rated for commercial use. e. Cushioning material such as mats, wood chips, or sand shall be used under climbers, slides, swings, and large pieces of equipment. Cushioning material shall extend at least six (6) feet beyond the equipment and swings. f. Children shall be restricted from unsafe areas and conditions (such as traffic, parking areas, ditches, and steep slopes) by a fence or natural barrier that is at least 4 feet in height. g. The use of hot tubs, spas, and saunas are prohibited. h. The use of trampolines is prohibited. i. The use of inflatable houses, or inflatable water slides, etc., are prohibited. j. Any on-site water source (ponds, swimming pools, streams, etc.) must be made inaccessible to children by a secure fencing that is at least 4 feet high; exits and entrances shall have self-closing, positive latching gates with locking devices. k. A First Aid Kit must be brought outdoors when children are present or stored outdoors in a secure locked location. It must include an Epi Pen prescribed by a doctor for any child that requires one. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Identification of and protection from bodies of water Standard, FFN Policy Manual section 4.2.15 4.2.15 Physical Safety of the Home and Premises The policy must address ways to ensure that the indoor and outdoor environments remain free of hazards that could be harmful to children. Including the following items: Indoor: a. Home is free from hazards and litter. b. Healthy animals which present no apparently threat to the health and safety of children shall be permitted, provided they are clean, properly houses, fed and cared for, and have the required current vaccinations, as appropriate. c. Smoking, consumption of alcoholic beverages, or use of other nonprescription narcotic or illegal substances are prohibited on the premises (indoor or outdoor) or while transporting children during the time children are in care. d. How the following are kept locked or out of children’s reach: medications, cleaning supplies/hazardous materials, caregiver’s purse, objects (knives/scissors), illegal drugs, weapons, miscellaneous that could harm children (e.g. hot glue gun, iron) Outdoor: Provides for the safety of the building and physical premises, including the identification of and protection from hazards that can cause bodily injury, such as electrical hazards, vehicular traffic, and bodies of water. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Non-related FFN providing in-home care must meet this standard. Identification of and protection from bodies of water Standard, FFN Policy Manual section 4.2.15 4.2.15 Physical Safety of the Home and Premises The policy must address ways to ensure that the indoor and outdoor environments remain free of hazards that could be harmful to children. Including the following items: Indoor: a. Home is free from hazards and litter. b. Healthy animals which present no apparently threat to the health and safety of children shall be permitted, provided they are clean, properly houses, fed and cared for, and have the required current vaccinations, as appropriate. c. Smoking, consumption of alcoholic beverages, or use of other nonprescription narcotic or illegal substances are prohibited on the premises (indoor or outdoor) or while transporting children during the time children are in care. d. How the following are kept locked or out of children’s reach: medications, cleaning supplies/hazardous materials, caregiver’s purse, objects (knives/scissors), illegal drugs, weapons, miscellaneous that could harm children (e.g. hot glue gun, iron) Outdoor: Provides for the safety of the building and physical premises, including the identification of and protection from hazards that can cause bodily injury, such as electrical hazards, vehicular traffic, and bodies of water. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ABC Quality only allows license-exempt programs that operate during the school year or year-round to participate. Summer-only programs are not eligible to enroll, as they would not be able to meet all eligibility requirements and be assigned a Quality Level before the program ends. (ABC Quality License Exempt Manual, Chapter 4 Eligibility Criteria to Participate, Section 4.1.2 Program Operations) Out-of-school programs that meet ABC Quality eligibility criteria are captured under the provider type of license-exempt center child care. Identification of and protection from bodies of water ABC Quality Standard, License Exempt Center Policy Manual section 7.2.7b 7.2.7 Outdoor Environment a. The playground or other areas used by children are free of trash and litter. b. The building and physical premises are safe for the presence and care of children. This includes the identification of and prevention of hazards that can cause bodily injury, such as electrical hazards, vehicular traffic, and bodies of water. c. Playground areas must be kept safe, e.g., grass kept cut; no fire ants; poisonous plants removed; no poisons/chemicals (bug spray, insecticides, gasoline, etc.; no standing water; sharp objects such as nails removed; fence in good repair with no gaps or openings; and no large overhanging tree limbs that are broken which could fall and cause injury, etc. d. Playground equipment must be safe, firmly anchored, meet the US Consumer Products Safety Commission (CPSC), and be rated for commercial use. e. Cushioning material such as mats, wood chips, or sand shall be used under climbers, slides, swings, and large pieces of equipment. Cushioning material shall extend at least six (6) feet beyond the equipment and swings. f. Children shall be restricted from unsafe areas and conditions (such as traffic, parking areas, ditches, and steep slopes) by a fence or natural barrier that is at least 4 feet in height. g. The use of hot tubs, spas, and saunas are prohibited. h. The use of trampolines is prohibited. i. The use of inflatable houses, or inflatable water slides, etc., are prohibited. j. Any on-site water source (ponds, swimming pools, streams, etc.) must be made inaccessible to children by a secure fencing that is at least 4 feet high; exits and entrances shall have self-closing, positive latching gates with locking devices. k. A First Aid Kit must be brought outdoors when children are present or stored outdoors in a secure locked location. It must include an Epi Pen prescribed by a doctor for any child that requires one. c. Provide the standards, appropriate to the provider setting and age of children, that address the identification of and protection from vehicular traffic hazards for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: 114-505. Health, Sanitation and Safety C. Emergency medical plan (1)(d), I. Transportation, (1) If the center provides or arranges for transportation through contract, the following transportation requirements apply: (2) The following requirements apply for safe pick-up and drop-off: (a) The center shall have safe crossways and pick-up and drop-off locations and communicate these locations to the parents. (b) Children shall be directly supervised during boarding and exiting vehicles. 114-504 (A) (3) The center shall have a written procedure to account for the presence of each child as the child enters and exits the premises, enters and exits a vehicle or moves to a new location in or around the center; 114-507 (B) (4) Children shall be restricted from unsafe areas and conditions such as traffic, parking areas, ditches, and steep slopes by a fence or natural barrier that is at least four feet high. Identification of and protection from vehicular traffic hazards ABC Quality Center Based Policy Manual section 4.2.2 Program Eligibility Requirements f. The program has an outside play area on-site that is protected from traffic and other hazards. Existing programs who utilize on-site play areas, particularly those in strip malls, and who do not have barriers or other methods to protect children from traffic or hazards must provide those items to ensure the safety of children. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 114-515. HEALTH, SANITATION AND SAFETY C. Emergency medical plan (1)(d), (1) The group child care home shall have an emergency medical plan to address the following: (d) The method of transportation to be used. I. Transportation, Transportation (2) The following requirements apply for safe pick-up and drop-off: (a) The group child care home shall have safe crossways and designated pick-up and drop-off locations and communicate these locations to the parents; and (b) Children shall be supervised during boarding and exiting vehicles. 114-517 (B) (3) Children shall be restricted from unsafe areas and conditions such as traffic, parking areas, ditches, and steep slopes by a fence or natural barrier that is at least four feet high. 114-504 (A) (3) The center shall have a written procedure to account for the presence of each child as the child enters and exits the premises, enters and exits a vehicle or moves to a new location in or around the center; 114-507 (B) (4) Children shall be restricted from unsafe areas and conditions such as traffic, parking areas, ditches, and steep slopes by a fence or natural barrier that is at least four feet high. Small Family Child Care Home Policy Manual #24, If the Family Child Care Home provides or arranges for transportation through contract, the following transportation requirements apply: The following requirements apply to ensure a safe pick-up and drop-off: • Children shall be directly supervised during the boarding and exiting of vehicles. 114-535 (C) (2) Outside space shall be restricted by fence or barrier if near unsafe areas such as traffic, parking areas, ditches, body of water, or steep slope. Identification of and protection from vehicular traffic hazards ABC Quality Standard Family and Group Child Care Home Policy Manual section 4.2.2 Program Eligibility Requirements f. The program has an outside play area on-site that is protected from traffic and other hazards. Existing programs who utilize on-site play areas, particularly those in strip malls, and who do not have barriers or other methods to protect children from traffic or hazards must provide those items to ensure the safety of children. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Identification of and protection from vehicular traffic hazards ABC Quality Standard, License Exempt Center Policy Manual section 7.2.7b 7.2.7 Outdoor Environment a. The playground or other areas used by children are free of trash and litter. b. The building and physical premises are safe for the presence and care of children. This includes the identification of and prevention of hazards that can cause bodily injury, such as electrical hazards, vehicular traffic, and bodies of water. c. Playground areas must be kept safe, e.g., grass kept cut; no fire ants; poisonous plants removed; no poisons/chemicals (bug spray, insecticides, gasoline, etc.; no standing water; sharp objects such as nails removed; fence in good repair with no gaps or openings; and no large overhanging tree limbs that are broken which could fall and cause injury, etc. d. Playground equipment must be safe, firmly anchored, meet the US Consumer Products Safety Commission (CPSC), and be rated for commercial use. e. Cushioning material such as mats, wood chips, or sand shall be used under climbers, slides, swings, and large pieces of equipment. Cushioning material shall extend at least six (6) feet beyond the equipment and swings. f. Children shall be restricted from unsafe areas and conditions (such as traffic, parking areas, ditches, and steep slopes) by a fence or natural barrier that is at least 4 feet in height. g. The use of hot tubs, spas, and saunas are prohibited. h. The use of trampolines is prohibited. i. The use of inflatable houses, or inflatable water slides, etc., are prohibited. j. Any on-site water source (ponds, swimming pools, streams, etc.) must be made inaccessible to children by a secure fencing that is at least 4 feet high; exits and entrances shall have self-closing, positive latching gates with locking devices. k. A First Aid Kit must be brought outdoors when children are present or stored outdoors in a secure locked location. It must include an Epi Pen prescribed by a doctor for any child that requires one. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Identification of and protection from vehicular traffic hazards Standard, FFN Policy Manual section 6.2.b Outdoor Provides for the safety of the building and physical premises, including the identification of and protection from hazards that can cause bodily injury, such as electrical hazards, vehicular traffic, and bodies of water. • Children shall be restricted from unsafe areas and conditions such as traffic, and parking areas and bodies of water such as ponds, lakes, swimming pools. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Non-related FFN providing in-home care must comply with this policy. Identification of and protection from vehicular traffic hazards Standard, FFN Policy Manual section 6.2.b O Outdoor Provides for the safety of the building and physical premises, including the identification of and protection from hazards that can cause bodily injury, such as electrical hazards, vehicular traffic, and bodies of water. • Children shall be restricted from unsafe areas and conditions such as traffic, and parking areas and bodies of water such as ponds, lakes, swimming pools. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ABC Quality only allows license-exempt programs that operate during the school year or year-round to participate. Summer-only programs are not eligible to enroll, as they would not be able to meet all eligibility requirements and be assigned a Quality Level before the program ends. (ABC Quality License Exempt Manual, Chapter 4 Eligibility Criteria to Participate, Section 4.1.2 Program Operations) Out-of-school programs that meet ABC Quality eligibility criteria are captured under the provider type of license-exempt center child care. Identification of and protection from vehicular traffic hazards ABC Quality Standard, License Exempt Center Policy Manual section 7.2.7b 7.2.7 Outdoor Environment a. The playground or other areas used by children are free of trash and litter. b. The building and physical premises are safe for the presence and care of children. This includes the identification of and prevention of hazards that can cause bodily injury, such as electrical hazards, vehicular traffic, and bodies of water. c. Playground areas must be kept safe, e.g., grass kept cut; no fire ants; poisonous plants removed; no poisons/chemicals (bug spray, insecticides, gasoline, etc.; no standing water; sharp objects such as nails removed; fence in good repair with no gaps or openings; and no large overhanging tree limbs that are broken which could fall and cause injury, etc. d. Playground equipment must be safe, firmly anchored, meet the US Consumer Products Safety Commission (CPSC), and be rated for commercial use. e. Cushioning material such as mats, wood chips, or sand shall be used under climbers, slides, swings, and large pieces of equipment. Cushioning material shall extend at least six (6) feet beyond the equipment and swings. f. Children shall be restricted from unsafe areas and conditions (such as traffic, parking areas, ditches, and steep slopes) by a fence or natural barrier that is at least 4 feet in height. g. The use of hot tubs, spas, and saunas are prohibited. h. The use of trampolines is prohibited. i. The use of inflatable houses, or inflatable water slides, etc., are prohibited. j. Any on-site water source (ponds, swimming pools, streams, etc.) must be made inaccessible to children by a secure fencing that is at least 4 feet high; exits and entrances shall have self-closing, positive latching gates with locking devices. k. A First Aid Kit must be brought outdoors when children are present or stored outdoors in a secure locked location. It must include an Epi Pen prescribed by a doctor for any child that requires one. 5.3.6 Prevention of shaken baby syndrome, abusive head trauma, and maltreatment health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the prevention of shaken baby syndrome and abusive head trauma and indicate the age of children it applies to for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: License Centers 114- 503 C Child Abuse, (1) The center shall immediately report suspected child abuse or child neglect to the Department’s Office of Child Protective and Preventive Services or to local law enforcement in accordance with South Carolina Code Annotated Section 63-7-310. (2) The director and staff shall cooperate with Department staff during an investigation of child abuse or neglect. Cooperation shall include the following: (a) Participate in informational conferences with Child Protective and Preventive Services staff; (b) Release records as appropriate, of children and staff upon request; and (c) Allow access to the center premises for inspection and investigation of the child abuse allegation by the Department and other officials as permitted by statute. 114-506 B Discipline and Behavior Management, (1) The facility’s discipline policy shall outline methods of guidance appropriate to the ages of the children. Positive, non-violent, non-abusive methods for managing behavior shall be implemented. (2) All teacher/caregivers shall sign a facility agreement to implement the discipline and behavior management policy, with a statement that specifies no corporal punishment. (3) Emotional abuse is also prohibited, including but not limited to: profane, harsh, demeaning or humiliating language in the presence of children. Threatening, humiliating, ignoring, corrupting, terrorizing, or rejecting a child is prohibited. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Licensed Group (Large Family) 114-513 C Child Abuse, (1) The group child care home shall immediately report suspected child abuse or child neglect to the Department’s Office of Child Protective and Preventive Services (CPS) or to local law enforcement in accordance with South Carolina Code Annotated Section 20-7- 510. (2) The operator and staff shall cooperate with Department staff during an investigation of child abuse or neglect. Cooperation shall include the following: (a) Participate in informational conferences with CPS staff;(b) Release records as appropriate, of children and staff upon request; and(c) Allow access to the group child care home for inspection and investigation of the child abuse allegation by the Department and other officials as permitted by statute.114-516 B Discipline and Behavior Management, (1) The group child care home’s discipline policy shall outline methods of guidance appropriate to the ages of the children. Positive, non-violent, non-abusive methods for managing behavior shall be implemented. (2) All teacher/caregivers shall sign an agreement to implement the discipline and behavior management policy, with a statement that specifies no corporal punishment shall be used except when authorized in writing by the parent(s)/guardian(s); corporal punishment shall not exceed guidelines established in Section 20-7-490(2)(a) of the Code of Laws of South Carolina, 1976 amended. (3) Emotional abuse is also prohibited, including but not limited to: profane, harsh, demeaning or humiliating language in the presence of children. Threatening, humiliating, ignoring, corrupting, terrorizing, or rejecting a child is prohibited. Children's Code of Law-Title 63, Section 63-13-840 A (A) When the department visits a family childcare home for purposes of an inspection or investigation pursuant to Section 63￿13￿80(A), it shall conduct the review to ensure the facility complies with the following:(1) health and safety of the children; (2) no evidence of child abuse. Small Family Child Care Homes Regulation 114-531 G (1) (b), Procedures G. Inspections (1) Annual Inspection: (b) When the Department visits a family child care home for purposes of an inspection or investigation pursuant to Section 63- 13-80, South Carolina Code of Laws, it shall conduct the inspection to ensure the family child care home complies with the following: health and safety of children; no evidence of child abuse; and enrollment within the limits set forth on the license.114-532 B. Management, Administration, and Staffing. B. Child Abuse, (1) The operator of a family child care home shall immediately report suspected child abuse or neglect to the Department’s Child Protective Services (CPS) or to local law enforcement in accordance with Section 63-7-310, South Carolina Code of Laws. (2) The operator and staff shall cooperate with the Department during an investigation of child abuse and neglect. Cooperation shall include the following: (a) Participate in information conferences with CPS workers; (b) Release records of children and staff upon request as appropriate; and (c) Allow access to the family child care home for inspection and investigation of the child abuse allegation by the Department and other officials as permitted by statute. 114-532 C (1) (h). Reporting Incidents, Reports of alleged child abuse involving the operator, any staff person, or any household member. The operator shall report the following incidents to the parents/guardians immediately and report to the Department within twenty-four (24) hours after the occurrence: 114-533 G (1) (2) (3) Discipline Policy (1) The family child care home’s discipline policy shall outline methods of guidance appropriate to the ages of the children. Positive, non- violent, non-abusive methods for managing behavior shall be implemented. Children shall not be inappropriately handled with force. (2) All operators/caregivers/household members shall sign an agreement to implement the discipline and behavior management policy, with a statement that specifies no corporal punishment. Corporal punishment is prohibited and includes, but is not limited to: spanking, hitting, slapping, twisting, dragging, yanking, squeezing, pinching, shaking, or biting a child. (3) Emotional abuse is also prohibited, including but not limited to: profane, harsh, demeaning or humiliating language in the presence of the children. Threatening, humiliating, ignoring, corrupting, terrorizing or rejecting a child is prohibited. Small FCCH Policy 30 To investigate allegations of abuse and neglect, the Out of Home Abuse and Neglect Office (OHAN) at the SC Department of Social Services shall visit to determine if the abuse or neglect complaint is true. The operator shall: Cooperate with the Department staff during an investigation of child abuse or neglect. Cooperation shall include the following: a. Participate in informal conferences with OHAN staff b. Release records as appropriate, of children and staff upon request; and c. Allow access to the FCCH or FFN premises for inspection and investigation of the child abuse allegation by OHAN and other officials as permitted by statute. POLICY FCCH 35: The operator shall report death of a child or staff member, injuries of a child, medical treatments, facility damage(s), criminal charges/convictions, and incidents of child abuse or neglect to the Department within 24 hours of occurrence. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Not a standard due to License exempt centers do not serve children under age 5. License-exempt center care must be licensed to serve children under the age of 5 years-old. To be eligible to participate in ABC Quality license-exempt center care can only serve children ages 5 years and older. SC Child Care Licensing law prohibits programs who are not licensed to serve children under the age of five even if they attend public school (ABC Quality License Exempt Manual, Chapter 4, Eligibility Criteria to Participate, Section 4.1.3.). ABC Quality Standard, License Exempt Center Policy Manual section 4.1.3 4.1.3 Program operates within legal parameters which means: a. Operates only four hours total or less per day during the time school is in session to include any transportation time (if provided), and if parents pick up children late. b. Serves only children ages five years and older. SC Licensing Law prohibits programs who are not licensed from serving children under the age of five even if they attend public school. c. Can operate full day during the time school is not in session for school holidays, teacher work days or any time the school (public/private) is closed. d. Programs that operate year-round to include Summer: the summer program must operate in consecutive sessions of three weeks or less. e. Programs who operate a Summer Camp in the Summer must operate in sessions of 3 weeks or less. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Prevention of shaken baby syndrome and abusive head trauma Standard, FFN Policy Manual section 4.2.14 4.2.14 Prevention of Shaken Baby Syndrome, Abuse Head Trauma and Child Maltreatment The policy must address: a. Strategies to use when a child in care is fussy, cries constantly or is distraught. b. Symptoms that may be exhibited by a child that has been a victim of shaken baby syndrome/abusive head trauma, e.g. irritability, trouble staying awake, trouble breathing, vomiting, poor sucking or swallowing, inability to life head, inability for eyes to focus or track, etc. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Non-related FFN providing in-home care must comply with this standard. FPrevention of shaken baby syndrome and abusive head trauma Standard, FFN Policy Manual section 4.2.14 4.2.14 Prevention of Shaken Baby Syndrome, Abuse Head Trauma and Child Maltreatment The policy must address: a. Strategies to use when a child in care is fussy, cries constantly or is distraught. b. Symptoms that may be exhibited by a child that has been a victim of shaken baby syndrome/abusive head trauma, e.g. irritability, trouble staying awake, trouble breathing, vomiting, poor sucking or swallowing, inability to life head, inability for eyes to focus or track, etc. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Not a standard due to License exempt centers do not serve children under age 5. ABC Quality only allows license-exempt programs that operate during the school year or year-round to participate. Summer-only programs are not eligible to enroll, as they would not be able to meet all eligibility requirements and be assigned a Quality Level before the program ends. (ABC Quality License Exempt Manual, Chapter 4 Eligibility Criteria to Participate, Section 4.1.2 Program Operations) Out-of-school programs that meet ABC Quality eligibility criteria are captured under the provider type of license-exempt center child care. License-exempt center care must be licensed to serve children under the age of 5 years-old. To be eligible to participate in ABC Quality license-exempt center care can only serve children ages 5 years and older. SC Child Care Licensing law prohibits programs who are not licensed to serve children under the age of five even if they attend public school (ABC Quality License Exempt Manual, Chapter 4, Eligibility Criteria to Participate, Section 4.1.3.a). ABC Quality Standard, License Exempt Center Policy Manual section 4.1.3 4.1.3 Program operates within legal parameters which means: a. Operates only four hours total or less per day during the time school is in session to include any transportation time (if provided), and if parents pick up children late. b. Serves only children ages five years and older. SC Licensing Law prohibits programs who are not licensed from serving children under the age of five even if they attend public school. c. Can operate full day during the time school is not in session for school holidays, teacher work days or any time the school (public/private) is closed. d. Programs that operate year-round to include Summer: the summer program must operate in consecutive sessions of three weeks or less. e. Programs who operate a Summer Camp in the Summer must operate in sessions of 3 weeks or less. b. Provide the standards, appropriate to the provider setting and age of children, that address the prevention of child maltreatment and indicate the age of children it applies to for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: 63-13-40 A (1) Background checks for employment. (A)(1) A licensed, approved, or registered childcare facility, or any childcare provider that delivers services for which Child Care and Development Fund financial assistance is provided, may not employ a childcare caregiver or other staff member if that person is required to register or is registered with the National Crime Information Center National Sex Offender Registry, the state sex offender registry pursuant to Section 23￿3￿430, or the Central Registry of Child Abuse and Neglect or has been convicted of: (a) a crime listed in Chapter 3, Title 16, Offenses Against the Person; (b) a crime listed in Chapter 15, Title 16, Offenses Against Morality and Decency; (c) the crime of contributing to the delinquency of a minor, contained in Section 16￿17￿490; (d) unlawful conduct toward a child, as provided for in Section 63￿5￿70; (e) cruelty to children, as provided for in Section 63￿5￿80; (f) child endangerment, as provided for in Section 56￿5￿2947; (g)(i) the felonies classified in Section 16￿1￿10(A), except that this prohibition does not apply to Section 56￿5￿2930, the Class F felony of driving under the influence if the conviction occurred at least ten years prior to the application for employment and the following conditions are met: (A) the person has not been convicted in this State or any other state of an alcohol or drug violation during the previous ten-year period; (B) the person has not been convicted of and has no charges pending in this State or any other state for a violation of driving while his license is canceled, suspended, or revoked during the previous ten-year period; and (C) the person has completed successfully an alcohol or drug assessment and treatment program provided by the South Carolina Department of Alcohol and Other Drug Abuse Services or an equivalent program designated by that agency;(ii) a person who has been convicted of a first-offense violation of Section 56￿5￿2930 must not drive a motor vehicle or provide transportation while in the official course of his duties as an employee of a childcare center, group childcare home, family childcare home, or church or religious childcare center; (iii) if the person subsequently is convicted of, receives a sentence upon a plea of guilty or of nolo contendere, or forfeits bail posted for a violation of Section 56￿5￿2930 or for a violation of another law or ordinance of this State or any other state or of a municipality of this State or any other state that prohibits a person from operating a motor vehicle while under the influence of intoxicating liquor, drugs, or narcotics, the person’s employment must be terminated; (h) the offenses enumerated in Section 16￿1￿10(D) if the crime was a felony or if the victim was a minor;(i) a violent crime listed in Section 16￿1￿60 if the crime was a felony or if the victim was a minor; or (j) a criminal offense similar in nature to the crimes listed in this subsection committed in other jurisdictions or under federal law. 63- 13-40 D (1-2), To be employed by or to provide caregiver services at a childcare facility licensed, registered, or approved under this sub article, a person first shall undergo a state fingerprint-based background check to be conducted by the State Law Enforcement Division (SLED) to determine any state criminal history, a fingerprint based background check to be conducted by the Federal Bureau of Investigation to determine any other criminal history, a Central Registry check to be conducted by the department to determine any abuse or neglect perpetrated by the person upon a child, and a search of the National Crime Information Center National Sex Offender Registry and the state sex offender registry pursuant to Section 23￿3￿430. (2) The person shall be subject to a state criminal register or repository check, a state sex offender check, and a state child abuse and neglect registry and database check in each state where the person has lived in the previous five years. Chapter 7, 63-7-310 Mandated Reporter, persons required to report, (A) A physician, nurse, dentist, optometrist, medical examiner, or coroner, or an employee of a county medical examiner’s or coroner’s office, or any other medical, emergency medical services, mental health, or allied health professional, member of the clergy including a Christian Science Practitioner or religious healer, school teacher, counselor, principal, assistant principal, social or public assistance worker, substance abuse treatment staff, or childcare worker in a childcare center or foster care facility, police or law enforcement officer, undertaker, funeral home director or employee of a funeral home, persons responsible for processing films, computer technician, or a judge must report in accordance with this section when in the person’s professional capacity the person has received information which gives the person reason to believe that a child has been or may be abused or neglected as defined in Section 63-7-20. (B) If a person required to report pursuant to subsection (A) has received information in the person’s professional capacity which gives the person reason to believe that a child’s physical or mental health or welfare has been or may be adversely affected by acts or omissions that would be child abuse or neglect if committed by a parent, guardian, or other person responsible for the child’s welfare, but the reporter believes that the act or omission was committed by a person other than the parent, guardian, or other person responsible for the child’s welfare, the reporter must make a report to the appropriate law enforcement agency. (C) Except as provided in subsection (A), any person who has reason to believe that a child’s physical or mental health or welfare has been or may be adversely affected by abuse and neglect may report in accordance with this section. (D) Reports of child abuse or neglect may be made orally by telephone or otherwise to the county department of social services or to a law enforcement agency in the county where the child resides or is found. 63-13-110 Sex Offender employment prohibitions, Sex offender employment prohibitions. (A) Notwithstanding another provision of law to the contrary, it is unlawful for a person required to register pursuant to Article 7, Chapter 3, Title 23 to work for any person or as a sole proprietor, with or without compensation, at any location where a minor is present and the person’s responsibilities or activities would include instruction, supervision, or care of a minor or minors, unless his employment or volunteer service is approved by a circuit court order and recorded in his sex offender registry file. (B) All court costs and fees associated with the provisions contained in subsection (A) must be paid by the offender.(C) A person who violates this provision is guilty of a felony and, upon conviction, must be imprisoned not more than five years. Child Care Licensing Regulation 114-506 B Program, Discipline and behavior management (1) The facility’s discipline policy shall outline methods of guidance appropriate to the ages of the children. Positive, non-violent, non-abusive methods for managing behavior shall be implemented. (2) All teacher/caregivers shall sign a facility agreement to implement the discipline and behavior management policy, with a statement that specifies no corporal punishment. (3) Emotional abuse is also prohibited, including but not limited to: profane, harsh, demeaning or humiliating language in the presence of children. Threatening, humiliating, ignoring, corrupting, terrorizing, or rejecting a child is prohibited. (4) Withholding, forcing, or threatening to withhold or force food, sleep or toileting is prohibited. (5) Unsupervised isolation of a child shall not be allowed. The child shall be within sight of staff if isolation from the group is used. (6) The use of children to discipline other children is prohibited. (7) Children shall not be restrained through drugs or mechanical restraints. Prevention of Child Maltreatment ABC Quality Standard, Center Based Policy Manual section 4.2.3h 4.2.3.h Child Maltreatment Policy SC Scholarship and ABC Quality serve a very vulnerable population of children. In addition to corporal punishment, when child maltreatment occurs, it threatens the ABC Quality Center-based Manual (June 3, 2024) 14 safety and security of children, especially those who are already experiencing some type of trauma in their lives. The program should have additional behavioral guidance policies for how staff should deal with disruptive behavior. 1. The program must develop a policy/statement which indicates: Child Maltreatment: Child maltreatment includes all types of abuse and neglect of a child under the age of 18 by a parent, caregiver, or another person in a custodial role (e.g., clergy, coach, teacher). There are four common types of abuse. They are: sexual, physical, emotional and neglect. The following are examples (but not limited to) of abuse and neglect that may occur in a child care setting: physical harm, withholding food, water, restroom use, or affection; verbally threatening a child; yelling at a child; shaming, inappropriate discipline such as washing a child’s mouth out with soap as a punishment, etc. 2. The program must follow the policy as written. ii. All CCDF-eligible licensed family child care homes. Provide the standard: 63-13-40 A (1) D (1-2) A (1) Background checks for employment. (A)(1) A licensed, approved, or registered childcare facility, or any childcare provider that delivers services for which Child Care and Development Fund financial assistance is provided, may not employ a childcare caregiver or other staff member if that person is required to register or is registered with the National Crime Information Center National Sex Offender Registry, the state sex offender registry pursuant to Section 23￿3￿430, or the Central Registry of Child Abuse and Neglect or has been convicted of: (a) a crime listed in Chapter 3, Title 16, Offenses Against the Person; (b) a crime listed in Chapter 15, Title 16, Offenses Against Morality and Decency; (c) the crime of contributing to the delinquency of a minor, contained in Section 16￿17￿490; (d) unlawful conduct toward a child, as provided for in Section 63￿5￿70; (e) cruelty to children, as provided for in Section 63￿5￿80; (f) child endangerment, as provided for in Section 56￿5￿2947; (g)(i) the felonies classified in Section 16￿1￿10(A), except that this prohibition does not apply to Section 56￿5￿2930, the Class F felony of driving under the influence if the conviction occurred at least ten years prior to the application for employment and the following conditions are met: (A) the person has not been convicted in this State or any other state of an alcohol or drug violation during the previous ten-year period; (B) the person has not been convicted of and has no charges pending in this State or any other state for a violation of driving while his license is canceled, suspended, or revoked during the previous ten-year period; and (C) the person has completed successfully an alcohol or drug assessment and treatment program provided by the South Carolina Department of Alcohol and Other Drug Abuse Services or an equivalent program designated by that agency; (ii) a person who has been convicted of a first-offense violation of Section 56￿5￿2930 must not drive a motor vehicle or provide transportation while in the official course of his duties as an employee of a childcare center, group childcare home, family childcare home, or church or religious childcare center; (iii) if the person subsequently is convicted of, receives a sentence upon a plea of guilty or of nolo contendere, or forfeits bail posted for a violation of Section 56￿5￿2930 or for a violation of another law or ordinance of this State or any other state or of a municipality of this State or any other state that prohibits a person from operating a motor vehicle while under the influence of intoxicating liquor, drugs, or narcotics, the person’s employment must be terminated; (h) the offenses enumerated in Section 16￿1￿10(D) if the crime was a felony or if the victim was a minor; (i) a violent crime listed in Section 16￿1￿60 if the crime was a felony or if the victim was a minor; or (j) a criminal offense similar in nature to the crimes listed in this subsection committed in other jurisdictions or under federal law. 63-13-40 D (1-2), To be employed by or to provide caregiver services at a childcare facility licensed, registered, or approved under this subarticle, a person first shall undergo a state fingerprint-based background check to be conducted by the State Law Enforcement Division (SLED) to determine any state criminal history, a fingerprint based background check to be conducted by the Federal Bureau of Investigation to determine any other criminal history, a Central Registry check to be conducted by the department to determine any abuse or neglect perpetrated by the person upon a child, and a search of the National Crime Information Center National Sex Offender Registry and the state sex offender registry pursuant to Section 23￿3￿430. (2) The person shall be subject to a state criminal register or repository check, a state sex offender check, and a state child abuse and neglect registry and database check in each state where the person has lived in the previous five years. Chapter 7, 63-7-310 Mandated Reporter, persons required to report, (A) A physician, nurse, dentist, optometrist, medical examiner, or coroner, or an employee of a county medical examiner’s or coroner’s office, or any other medical, emergency medical services, mental health, or allied health professional, member of the clergy including a Christian Science Practitioner or religious healer, school teacher, counselor, principal, assistant principal, social or public assistance worker, substance abuse treatment staff, or childcare worker in a childcare center or foster care facility, police or law enforcement officer, undertaker, funeral home director or employee of a funeral home, persons responsible for processing films, computer technician, or a judge must report in accordance with this section when in the person’s professional capacity the person has received information which gives the person reason to believe that a child has been or may be abused or neglected as defined in Section 63-7-20. (B) If a person required to report pursuant to subsection (A) has received information in the person’s professional capacity which gives the person reason to believe that a child’s physical or mental health or welfare has been or may be adversely affected by acts or omissions that would be child abuse or neglect if committed by a parent, guardian, or other person responsible for the child’s welfare, but the reporter believes that the act or omission was committed by a person other than the parent, guardian, or other person responsible for the child’s welfare, the reporter must make a report to the appropriate law enforcement agency. (C) Except as provided in subsection (A), any person who has reason to believe that a child’s physical or mental health or welfare has been or may be adversely affected by abuse and neglect may report in accordance with this section. (D) Reports of child abuse or neglect may be made orally by telephone or otherwise to the county department of social services or to a law enforcement agency in the county where the child resides or is found. 63-13-110 Sex Offender employment prohibitions, (A) Notwithstanding another provision of law to the contrary, it is unlawful for a person required to register pursuant to Article 7, Chapter 3, Title 23 to work for any person or as a sole proprietor, with or without compensation, at any location where a minor is present and the person’s responsibilities or activities would include instruction, supervision, or care of a minor or minors, unless his employment or volunteer service is approved by a circuit court order and recorded in his sex offender registry file.(B) All court costs and fees associated with the provisions contained in subsection (A) must be paid by the offender. (C) A person who violates this provision is guilty of a felony and, upon conviction, must be imprisoned not more than five years. (Large Family) Group Child Care Home Regulation 114-516 B Discipline and Behavior Management. (We will be revising Large GCCH regulations to prohibit the use of corporal punishment in 2025.) (Small Family) 63-13-840 A (2) Inspections of FCCH, (A) When the department visits a family childcare home for purposes of an inspection or investigation pursuant to Section 63￿13￿80(A), it shall conduct the review to ensure the facility complies with the following: (2) no evidence of child abuse. Family Child Care Home Regulation 114-533 G Discipline, (1) The family child care home’s discipline policy shall outline methods of guidance appropriate to the ages of the children. Positive, non-violent, non-abusive methods for managing behavior shall be implemented. Children shall not be inappropriately handled with force. (2) All operators/caregivers/household members shall sign an agreement to implement the discipline and behavior management policy, with a statement that specifies no corporal punishment. Corporal punishment is prohibited and includes, but is not limited to: spanking, hitting, slapping, twisting, dragging, yanking, squeezing, pinching, shaking, or biting a child. (3) Emotional abuse is also prohibited, including but not limited to: profane, harsh, demeaning or humiliating language in the presence of the children. Threatening, humiliating, ignoring, corrupting, terrorizing or rejecting a child is prohibited. (4) Withholding, forcing, or threatening to withhold or force food, sleep, or toileting is prohibited. (5) Unsupervised isolation of a child shall not be allowed. The child shall be within sight of a caregiver if isolation from the group is used. (6) The use of children to discipline other children is prohibited. (7) Children shall not be restrained through drugs or mechanical restraints. (8) Children shall not be forced to complete demanding physical exercise or engage in demanding or strenuous activity as a form of punishment. (9) Parents shall be informed of any discipline their child may be experiencing while at the family child care home. Prevention of Child Maltreatment ABC Quality Standard, Family and Group Child Care Home Policy Manual section 4.2.3h 4.2.3.h Child Maltreatment Policy Child Care Scholarship and ABC Quality serve a very vulnerable population of children. In addition to corporal punishment, when child maltreatment occurs, it threatens the ABC Quality Center-based Manual (June 3, 2024) 14 safety and security of children, especially those who are already experiencing some type of trauma in their lives. The program should have additional behavioral guidance policies for how staff should deal with disruptive behavior. 1. The program must develop a policy/statement which indicates: Child Maltreatment: Child maltreatment includes all types of abuse and neglect of a child under the age of 18 by a parent, caregiver, or another person in a custodial role (e.g., clergy, coach, teacher). There are four common types of abuse. They are: sexual, physical, emotional and neglect. The following are examples (but not limited to) of abuse and neglect that may occur in a child care setting: physical harm, withholding food, water, restroom use, or affection; verbally threatening a child; yelling at a child; shaming, inappropriate discipline such as washing a child’s mouth out with soap as a punishment, etc. 2. The program must follow the policy as written. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Prevention of Child Maltreatment ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6h 4.2.6.h Discipline and Child Maltreatment Policy SC Scholarship and ABC Quality serve a very vulnerable population of children. When corporal punishment and child maltreatment occurs, it threatens the safety and security of children, especially those who are already experiencing some type of trauma in their lives. The program should have additional behavioral guidance policies for how staff should deal with disruptive behavior. 1. The program must develop a policy/statement which indicates: ￿ The program prohibits the use of corporal punishment and maltreatment of children. The statement should list samples of maltreatment. The statement will be signed and dated annually by all staff Corporal punishment: Corporal punishment is the use of physical force to the body as a discipline measure. Corporal punishment is physical force to the body that includes but is not limited to spanking, slapping, biting, shaking, and jerking children by their arms, or dragging them by their legs SC Child Care Licensing Law prohibits the use of corporal punishment on any child in a child care setting. This includes the owner and employed staff whose child(ren) is enrolled in the program, and any parent of an enrolled child who might discipline their child before leaving the premises of the program. Child Maltreatment: Child maltreatment includes all types of abuse and neglect of a child under the age of 18 by a parent, caregiver, or another person in a custodial role (e.g., clergy, coach, teacher). There are four common types of abuse. They are: sexual, physical, emotional and neglect. The following are examples (but not limited to) of abuse and neglect that may occur in a child care setting: physical harm, withholding food, water, restroom use, or affection; verbally threatening a child; yelling at a child; shaming, inappropriate discipline such as washing a child’s mouth out with soap as a punishment, etc 2. The program must follow the policy as written. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Prevention of Child Maltreatment Standard, FFN Policy Manual section 4.1.2 and 4.1.4 4.1.2 Comprehensive Background Checks This must be completed through SCDSS for a for anyone responsible for the care or supervision of children to include an emergency person and household members. The Child Care Scholarship Program staff will provide instructions. For anyone age 15 and older: o SLED/FBI fingerprint checks For anyone age 18 and older: o State Abuse and Neglect checks o Out-of- State Abuse and Neglect checks (if applicable) o State and National Sex Offender Checks These checks must be completed and have a satisfactory determination prior to providing care for children. 4.1.4 Discipline Policy Statement A written discipline policy prohibiting corporal punishment must be signed for any person responsible for the care or supervision of children to include an emergency person (see appendix). The policy must include the understanding that the FFN provider cannot use corporal punishment on their own child during the time they care caring for the Child Care Scholarship client. This is signed at enrollment and annually thereafter. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Non-related FFN providing in-home care must comply with this standard. Prevention of Child Maltreatment Standard, FFN Policy Manual section 4.1.2 and 4.1.4 4.1.2 Comprehensive Background Checks This must be completed through SCDSS for a for anyone responsible for the care or supervision of children to include an emergency person and household members. The Child Care Scholarship Program staff will provide instructions. For anyone age 15 and older: o SLED/FBI fingerprint checks For anyone age 18 and older: o State Abuse and Neglect checks o Out-of- State Abuse and Neglect checks (if applicable) o State and National Sex Offender Checks These checks must be completed and have a satisfactory determination prior to providing care for children. 4.1.4 Discipline Policy Statement A written discipline policy prohibiting corporal punishment must be signed for any person responsible for the care or supervision of children to include an emergency person (see appendix). The policy must include the understanding that the FFN provider cannot use corporal punishment on their own child during the time they care caring for the Child Care Scholarship client. This is signed at enrollment and annually thereafter. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ABC Quality only allows license-exempt programs that operate during the school year or year-round to participate. Summer-only programs are not eligible to enroll, as they would not be able to meet all eligibility requirements and be assigned a Quality Level before the program ends. (ABC Quality License Exempt Manual, Chapter 4 Eligibility Criteria to Participate, Section 4.1.2 Program Operations) Out-of-school programs that meet ABC Quality eligibility criteria are captured under the provider type of license-exempt center child care. Prevention of Child Maltreatment ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6h 4.2.6.h Discipline and Child Maltreatment Policy SC Scholarship and ABC Quality serve a very vulnerable population of children. When corporal punishment and child maltreatment occurs, it threatens the safety and security of children, especially those who are already experiencing some type of trauma in their lives. The program should have additional behavioral guidance policies for how staff should deal with disruptive behavior. 1. The program must develop a policy/statement which indicates: ￿ The program prohibits the use of corporal punishment and maltreatment of children. The statement should list samples of maltreatment. The statement will be signed and dated annually by all staff Corporal punishment: Corporal punishment is the use of physical force to the body as a discipline measure. Corporal punishment is physical force to the body that includes but is not limited to spanking, slapping, biting, shaking, and jerking children by their arms, or dragging them by their legs SC Child Care Licensing Law prohibits the use of corporal punishment on any child in a child care setting. This includes the owner and employed staff whose child(ren) is enrolled in the program, and any parent of an enrolled child who might discipline their child before leaving the premises of the program. Child Maltreatment: Child maltreatment includes all types of abuse and neglect of a child under the age of 18 by a parent, caregiver, or another person in a custodial role (e.g., clergy, coach, teacher). There are four common types of abuse. They are: sexual, physical, emotional and neglect. The following are examples (but not limited to) of abuse and neglect that may occur in a child care setting: physical harm, withholding food, water, restroom use, or affection; verbally threatening a child; yelling at a child; shaming, inappropriate discipline such as washing a child’s mouth out with soap as a punishment, etc 2. The program must follow the policy as written. 5.3.7 Emergency preparedness and response planning standard Identify by checking below that the emergency preparedness and response planning due to natural disasters and human-caused events standard includes procedures in the following areas: i. [x] Evacuation ii. [x] Relocation iii. [x] Shelter-in-place iv. [x] Lock down v. Staff emergency preparedness [x] Training [x] Practice drills vi. Volunteer emergency preparedness [x] Training [x] Practice drills vii. [x] Communication with families viii. [x] Reunification with families ix. [x] Continuity of operations x. Accommodation of [x] Infants [x] Toddlers [x] Children with disabilities [x] Children with chronic medical conditions xi. If any of the above are not checked, describe: 5.3.8 Handling and storage of hazardous materials and the appropriate disposal of biocontaminants health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the handling and storage of hazardous materials for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Center-based Regulation: Physical Site 114-507 A(5) (c) Indoor space and conditions, Environmental hazards, Lead poisoning, (c) To prevent lead poisoning in children, child care centers shall meet applicable lead base paint requirements, as established by the South Carolina Department of Health and Environmental Control (DHEC), pursuant to South Carolina Code annotated Section 44-53-1310, et seq., and Regulation Number (61-85). Physical Site, 114-507 E (1)-Environmental Hazards, (1) Poisons or harmful agents (a) Poisons or harmful agents shall be kept locked, stored in the original containers, labeled and inaccessible to children. (b) Poisons or harmful agents shall be purchased in childproof containers, if available. (c) Play materials, including arts and crafts, shall be non-poisonous. (d) Poisonous plants are not permitted. (e) Pesticides shall be of a type applied by a licensed exterminator in a manner approved by the United States Environmental Protection Agency. Pesticides shall be used in strict compliance with label instructions and should not be used while children are present. Pesticide containers shall be prominently and distinctly marked or labeled for easy identification of contents and stored in a secure site accessible only to authorized staff. Handling, Storage of Hazardous Materials ABC Quality Standard, Center Based Policy Manual section 4.2.3j 4.2.3.j Handling, Storage, and Disposal of Hazardous Materials and Biological Contaminants Policy 1. The policy must address the following: a Toxic substances must be stored out of the reach of children in a locked cabinet. Toxic substances or hazardous materials include but are not limited to: chemicals, cleaning products, disinfectant sprays, insecticides, gasoline products. b Toxic substances must not be used while children are present. c Flammable materials should be stored in a separate building or area away from high temperatures and ignition sources, inaccessible to children. d. Toxic substances/hazards must be stored away from food and medication. e. Poisonous plants must not be allowed in the center. f. Chemicals used to control odors must not be allowed, e.g., moth balls, air fresheners, essential oils, toilet/urinal deodorizer blocks. g. Procedures when staff must come in contact with bodily fluids resulting from a child injury or illness. Include disposal of material that comes into contact with bodily fluids. 2. The program must follow its written policy. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Large Family - Group Child Care Home Regulations: Physical Site, 114-517 A (5) (c), Indoor Space, Environmental Hazards, Lead poisoning, (c) To prevent lead poisoning in children, group child care homes shall meet applicable lead base paint requirements, as established by DHEC. 114-517 E (1) Environmental Hazards, (1) Poisons or harmful agents. (a) Poisons or harmful agents shall be kept locked, stored in the original containers, labeled and inaccessible to children. (b) Poisons or harmful agents shall be purchased in childproof containers, if available. (c) Play materials, including arts and crafts, shall be non-poisonous. (d) Poisonous plants are not permitted. (e) Pesticides shall be used in strict compliance with label instructions and should not be used while children are present. Pesticide containers shall be prominently and distinctly marked or labeled for easy identification of contents and stored in a secure site accessible only to authorized staff. Small Family Child Care Home Regulations Physical site 114-535 D (3) (4), Environmental Hazards, (3) Poisons and harmful agents shall be kept locked, labeled, stored in original containers, and not accessible to children. (4) All cleaning supplies, detergents, and other potentially poisonous items shall be stored away from food items and shall not be accessible to children. Poison and harmful agents and cleaning supplies. Family Child Care Home Policy 25, Family Child Care Home Providers must adhere to the following: (a) Poisons or harmful agents shall be stored in their original containers that are labeled and in a locked area that is inaccessible to children. (b) Poisons or harmful agents shall be purchased in childproof containers, if available. (c) Play materials, including arts and crafts, shall be non-poisonous. (d) Poisonous plants are not permitted in a Family Child Care Home. (e) Pesticides applied at a Family Child Care Home shall be of a type applied by a licensed exterminator in a manner approved by the United States Environmental Protection Agency. i) Pesticides shall be used in strict compliance with label instructions and should not be used while children are present. ii)Pesticide containers shall be prominently and distinctly marked or labeled for easy identification of contents and stored in a secure site inaccessible to children. Handling, Storage of Hazardous Materials ABC Quality Standard, Family and Group Child Care Home Policy Manual section 4.2.3j 4.2.3.j Handling, Storage, and Disposal of Hazardous Materials and Biological Contaminants Policy 1. The policy must address the following: a Toxic substances must be stored out of the reach of children in a locked cabinet. Toxic substances or hazardous materials include but are not limited to: chemicals, cleaning products, disinfectant sprays, insecticides, gasoline products. b Toxic substances must not be used while children are present. c Flammable materials should be stored in a separate building or area away from high temperatures and ignition sources, inaccessible to children. d. Toxic substances/hazards must be stored away from food and medication. e. Poisonous plants must not be allowed in the center. f. Chemicals used to control odors must not be allowed, e.g., moth balls, air fresheners, essential oils, toilet/urinal deodorizer blocks. g. Procedures when staff must come in contact with bodily fluids resulting from a child injury or illness. Include disposal of material that comes into contact with bodily fluids. 2. The program must follow its written policy. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Handling, Storage of Hazardous Materials ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6j 4.2.6.j Handling, Storage, and Disposal of Hazardous Materials and Biological Contaminants Policy 1. The policy must address the following: a Toxic substances must be stored out of the reach of children in a locked cabinet. Toxic substances or hazardous materials include but are not limited to: chemicals, cleaning products, disinfectant sprays, insecticides, gasoline products. b Toxic substances must not be used while children are present. c Flammable materials should be stored in a separate building or area away from high temperatures and ignition sources, inaccessible to children. e. Toxic substances/hazards must be stored away from food and medication. f. Poisonous plants must not be allowed in the center. g. Chemicals used to control odors must not be allowed, e.g., moth balls, air fresheners, essential oils, toilet/urinal deodorizer blocks. h. Procedures when staff must come in contact with bodily fluids resulting from a child injury or illness. Include disposal of material that comes into contact with bodily fluids. 2. The program must follow its written policy. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Handling, Storage of Hazardous Materials Standard, FFN Policy Manual section 4.2.12 4.2.12 Handling, Storage, and Disposal of Hazardous Materials and Biological Contaminants Policy The policy must address: a. Toxic substances must be stored out of the reach of children in a locked cabinet. Toxic substances or hazardous materials include but not limited to: chemicals, cleaning products, insecticides, gasoline products, etc. b. Toxic substances must not be used while children are present. c. Flammable materials should be stored in a separate building or area away from high temperatures and ignition sources, inaccessible to children. d. Toxic substances/hazards must be stored away from food and medication. e. Poisonous plants must not be allowed in the home. f. Chemicals used to control odors must not be allowed, e.g. moth balls, air fresheners, essential oils, toilet/urinal deodorizer blocks. g. Procedures when the provider or an emergency person come in contact with bodily fluids resulting from a child injury or illness, or when changing diapers. Include disposal of material that comes into contact with bodily fluids. h. The disposal of soiled diapers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Non-related FFN providing in-home care must comply with this standard. Handling, Storage of Hazardous Materials Standard, FFN Policy Manual section 4.2.12 4.2.12 Handling, Storage, and Disposal of Hazardous Materials and Biological Contaminants Policy The policy must address: a. Toxic substances must be stored out of the reach of children in a locked cabinet. Toxic substances or hazardous materials include but not limited to: chemicals, cleaning products, insecticides, gasoline products, etc. b. Toxic substances must not be used while children are present. c. Flammable materials should be stored in a separate building or area away from high temperatures and ignition sources, inaccessible to children. d. Toxic substances/hazards must be stored away from food and medication. e. Poisonous plants must not be allowed in the home. f. Chemicals used to control odors must not be allowed, e.g. moth balls, air fresheners, essential oils, toilet/urinal deodorizer blocks. g. Procedures when the provider or an emergency person come in contact with bodily fluids resulting from a child injury or illness, or when changing diapers. Include disposal of material that comes into contact with bodily fluids. h. The disposal of soiled diapers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ABC Quality only allows license-exempt programs that operate during the school year or year-round to participate. Summer-only programs are not eligible to enroll, as they would not be able to meet all eligibility requirements and be assigned a Quality Level before the program ends. (ABC Quality License Exempt Manual, Chapter 4 Eligibility Criteria to Participate, Section 4.1.2 Program Operations) Out-of-school programs that meet ABC Quality eligibility criteria are captured under the provider type of license-exempt center child care. AHandling, Storage of Hazardous Materials ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6j 4.2.6.j Handling, Storage, and Disposal of Hazardous Materials and Biological Contaminants Policy 1. The policy must address the following: a Toxic substances must be stored out of the reach of children in a locked cabinet. Toxic substances or hazardous materials include but are not limited to: chemicals, cleaning products, disinfectant sprays, insecticides, gasoline products. b Toxic substances must not be used while children are present. c Flammable materials should be stored in a separate building or area away from high temperatures and ignition sources, inaccessible to children. e. Toxic substances/hazards must be stored away from food and medication. f. Poisonous plants must not be allowed in the center. g. Chemicals used to control odors must not be allowed, e.g., moth balls, air fresheners, essential oils, toilet/urinal deodorizer blocks. h. Procedures when staff must come in contact with bodily fluids resulting from a child injury or illness. Include disposal of material that comes into contact with bodily fluids. 2. The program must follow its written policy. b. Provide the standards, appropriate to the provider setting and age of children, that address the disposal of bio contaminants for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Center-based Regulation: Physical Site 114-507 A(5)(e) Indoor Site, Environmental Hazards (e) The use of sinks, equipment, and utensil-washing sinks, or food preparation sinks for the cleaning of garbage and refuse containers, mops or similar wet floor cleaning tools, and for the disposal of mop water or similar liquid waters is prohibited. Physical Site, 114- 507 A (8)(h) Indoor Site, Sanitation, (h) Trash disposal and sewage system construction and usage shall be in accordance with local standards and ordinances. Disposal of Biocontaminants ABC Quality Standard, Center Based Policy Manual section 4.2.3j 4.2.3.j Handling, Storage, and Disposal of Hazardous Materials and Biological Contaminants Policy 1. The policy must address the following: a Toxic substances must be stored out of the reach of children in a locked cabinet. Toxic substances or hazardous materials include but are not limited to: chemicals, cleaning products, disinfectant sprays, insecticides, gasoline products. b Toxic substances must not be used while children are present. c Flammable materials should be stored in a separate building or area away from high temperatures and ignition sources, inaccessible to children. d. Toxic substances/hazards must be stored away from food and medication. e. Poisonous plants must not be allowed in the center. f. Chemicals used to control odors must not be allowed, e.g., moth balls, air fresheners, essential oils, toilet/urinal deodorizer blocks. g. Procedures when staff must come in contact with bodily fluids resulting from a child injury or illness. Include disposal of material that comes into contact with bodily fluids. 2. The program must follow its written policy. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Large Family - Group Child Care Home Regulations: Physical Site, 114-517 A (5) (e) Indoor Site, Environmental Hazard (e) The use of sinks, equipment and utensil- washing sinks, or food preparation sinks for the cleaning of garbage and refuse containers and the cleaning of mops or similar wet floor cleaning tools and for the disposal of mop water or similar liquid waters is prohibited; Physical Site, 114-507 A (8) Indoor Site, Sanitation, (h) Trash disposal and sewage system construction and usage shall be in accordance with local standards and ordinances. Small Family Child Care Home Regulation Physical site 114-535 D (3 and 4) Poison and harmful agents and cleaning supplies. Family Child Care Home Policy 23, Children shall be restricted from unsafe areas and conditions, such as hazardous materials, vehicular traffic, parking areas, ditches, and bodies of water. In addition, Toxic substances must be stored out of the reach of children in a locked cabinet. Toxic substances or hazardous materials and bio contaminants including but not limited to chemicals, cleaning products, insecticides, gasoline products, etc. (b) Flammable materials should be stored in a separate building or area away from high temperatures and ignition sources, inaccessible to children.(c) Toxic substances/hazards must be stored away from food and medication.(f) Procedures must be in place when the provider or an emergency person comes in contact with bodily fluids resulting from a child injury or illness, or when changing diapers. Policy must include disposal of material that comes into contact with bodily fluids. Disposal of Biocontaminants ABC Quality Standard, Family and Group Child Care Home Policy Manual section 4.2.3j 4.2.3.j Handling, Storage, and Disposal of Hazardous Materials and Biological Contaminants Policy 1. The policy must address the following: a Toxic substances must be stored out of the reach of children in a locked cabinet. Toxic substances or hazardous materials include but are not limited to: chemicals, cleaning products, disinfectant sprays, insecticides, gasoline products. b Toxic substances must not be used while children are present. c Flammable materials should be stored in a separate building or area away from high temperatures and ignition sources, inaccessible to children. d. Toxic substances/hazards must be stored away from food and medication. e. Poisonous plants must not be allowed in the center. f. Chemicals used to control odors must not be allowed, e.g., moth balls, air fresheners, essential oils, toilet/urinal deodorizer blocks. g. Procedures when staff must come in contact with bodily fluids resulting from a child injury or illness. Include disposal of material that comes into contact with bodily fluids. 2. The program must follow its written policy. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Disposal of Biocontaminants ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6j 4.2.6.j Handling, Storage, and Disposal of Hazardous Materials and Biological Contaminants Policy 1. The policy must address the following: a Toxic substances must be stored out of the reach of children in a locked cabinet. Toxic substances or hazardous materials include but are not limited to: chemicals, cleaning products, disinfectant sprays, insecticides, gasoline products. b Toxic substances must not be used while children are present. c Flammable materials should be stored in a separate building or area away from high temperatures and ignition sources, inaccessible to children. e. Toxic substances/hazards must be stored away from food and medication. f. Poisonous plants must not be allowed in the center. g. Chemicals used to control odors must not be allowed, e.g., moth balls, air fresheners, essential oils, toilet/urinal deodorizer blocks. h. Procedures when staff must come in contact with bodily fluids resulting from a child injury or illness. Include disposal of material that comes into contact with bodily fluids. 2. The program must follow its written policy. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Disposal of Biocontaminants Standard, FFN Policy Manual section 4.2.12 4.2.12 Handling, Storage, and Disposal of Hazardous Materials and Biological Contaminants Policy The policy must address: a. Toxic substances must be stored out of the reach of children in a locked cabinet. Toxic substances or hazardous materials include but not limited to: chemicals, cleaning products, insecticides, gasoline products, etc. b. Toxic substances must not be used while children are present. c. Flammable materials should be stored in a separate building or area away from high temperatures and ignition sources, inaccessible to children. d. Toxic substances/hazards must be stored away from food and medication. e. Poisonous plants must not be allowed in the home. f. Chemicals used to control odors must not be allowed, e.g. moth balls, air fresheners, essential oils, toilet/urinal deodorizer blocks. g. Procedures when the provider or an emergency person come in contact with bodily fluids resulting from a child injury or illness, or when changing diapers. Include disposal of material that comes into contact with bodily fluids. h. The disposal of soiled diapers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Non-related FFN provider providing in-home care must comply with this standard. Disposal of Biocontaminants Standard, FFN Policy Manual section 4.2.12 4.2.12 Handling, Storage, and Disposal of Hazardous Materials and Biological Contaminants Policy The policy must address: a. Toxic substances must be stored out of the reach of children in a locked cabinet. Toxic substances or hazardous materials include but not limited to: chemicals, cleaning products, insecticides, gasoline products, etc. b. Toxic substances must not be used while children are present. c. Flammable materials should be stored in a separate building or area away from high temperatures and ignition sources, inaccessible to children. d. Toxic substances/hazards must be stored away from food and medication. e. Poisonous plants must not be allowed in the home. f. Chemicals used to control odors must not be allowed, e.g. moth balls, air fresheners, essential oils, toilet/urinal deodorizer blocks. g. Procedures when the provider or an emergency person come in contact with bodily fluids resulting from a child injury or illness, or when changing diapers. Include disposal of material that comes into contact with bodily fluids. h. The disposal of soiled diapers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ABC Quality only allows license-exempt programs that operate during the school year or year-round to participate. Summer-only programs are not eligible to enroll, as they would not be able to meet all eligibility requirements and be assigned a Quality Level before the program ends. (ABC Quality License Exempt Manual, Chapter 4 Eligibility Criteria to Participate, Section 4.1.2 Program Operations) Out-of-school programs that meet ABC Quality eligibility criteria are captured under the provider type of license-exempt center child care. Disposal of Biocontaminants ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6j 4.2.6.j Handling, Storage, and Disposal of Hazardous Materials and Biological Contaminants Policy 1. The policy must address the following: a Toxic substances must be stored out of the reach of children in a locked cabinet. Toxic substances or hazardous materials include but are not limited to: chemicals, cleaning products, disinfectant sprays, insecticides, gasoline products. b Toxic substances must not be used while children are present. c Flammable materials should be stored in a separate building or area away from high temperatures and ignition sources, inaccessible to children. e. Toxic substances/hazards must be stored away from food and medication. f. Poisonous plants must not be allowed in the center. g. Chemicals used to control odors must not be allowed, e.g., moth balls, air fresheners, essential oils, toilet/urinal deodorizer blocks. h. Procedures when staff must come in contact with bodily fluids resulting from a child injury or illness. Include disposal of material that comes into contact with bodily fluids. 2. The program must follow its written policy. 5.3.9 Precautions in transporting children health and safety standard Provide the standards, appropriate to the provider setting and age of children, that address precautions in transporting children for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: 114-505 I Transportation (1) If the center provides or arranges for transportation through contract, the following transportation requirements apply: (a) The staffing ratios specified in 114-504.B.(1) through (3) apply. The driver of the vehicle shall not be counted in the ratios for infants or toddlers. (b) Each child shall be secured in an individual, age-appropriate safety restraint at all times the vehicle is in motion. (c) Safety restraints shall be used in accordance with the manufacturer’s instructions. (d) A child shall not be left unattended in a vehicle. (e) Transportation placement of children in the vehicle shall be in accordance with all applicable state and federal laws. (f) The driver shall have a valid regular or commercial driver's license and shall be in compliance with Section 63-13-40 of the South Carolina Code of Laws. (g) There shall be a first aid kit and emergency information on each child in the vehicle. (h) Use of tobacco products is prohibited in the vehicle. (i) Written consent from the parent is required prior to transportation. (j) When the facility provides transportation to and from the child's home, the facility staff shall be responsible for picking the child up and returning the child to a designated location. (k) The director and/or staff of the center shall provide the driver of the vehicle with a record that lists the name, address, and telephone number of the center, as well as names of children being transported. (2) The following requirements apply for safe pick-up and drop-off: (a) The center shall have safe crossways and pick-up and drop-off locations and communicate these locations to the parents. (b) Children shall be directly supervised during boarding and exiting vehicles. (c) The director and/or staff shall have on file, in the facility, written permission from parent(s)/guardian(s) for transporting children to and from the home, school, or other designated places, including center-planned field trips and activities. (d) Written transportation plans for routine travel shall be on file. Plans shall include a checklist to account for the loading and unloading of children at every location.; School Bus Safety Standards, Section 56-5-195 (Jacob’s Law) School bus safety standards SECTION 1. The 1976 Code is amended by adding: ￿Section 56-5-195. (A) Effective July 1, 2000, any entity transporting preprimary, primary, or secondary school students to or from school, school-related activities, or child care, and utilizing a vehicle defined as a ￿school bus’ under 49 U.S.C. Section 30125, as defined on April 5, 2000, must transport these students in a vehicle meeting federal school bus safety standards, as contained in 49 U.S.C. Section 30101, et seq., or any successor statutes, and all applicable federal regulations. Nothing in this section prohibits the transportation of children to or from child care in nonconforming vehicles by a State of South Carolina human service provider or public transportation authority as long as each child is accompanied by a parent or legal guardian whose transportation is in connection with his work, education, or training. (B) Notwithstanding subsection (A) of this section, any vehicle that is purchased before July 1, 2000, and is utilized to transport preprimary, primary, or secondary students to or from school, school-related activities, or child care is not subject to the requirements contained in subsection (A) of this section until July 1, 2006. A vehicle that is purchased on or after July 1, 2000, and is utilized to transport preprimary, primary, or secondary students to or from school, school-related activities, or child care is subject to the requirements contained in subsection (A) of this section once the vehicle is utilized for those purposes. (C) Before July 1, 2006, nothing in this section may be construed to create a duty or other obligation to cease utilizing nonconforming vehicles purchased before the effective date of this act. (D) To facilitate compliance with the provisions contained in this section, any entity contained in this section may purchase conforming vehicles under the State of South Carolina contracts for purchase of these vehicles. (E) Nothing in the section prohibits the transportation of students by common carriers that are not exclusively engaged in the transportation of school students or by the entities subject to this section which own or operate these vehicles. However, the motor carriage used by the common carrier or entity to transport students must be designed to carry thirty or more passengers.￿ Transporting Students; SC Department of Motor Vehicle Transporting Students (Transporting Students (www.scdmvonline.com). Precautions in transporting children ABC Quality Standard, Center Based Policy Manual section 4.2.3f 4.2.3.f Transportation Policy (if applicable) Note: The program must comply with Jacob’s Law. 1. The policy must address the following: a. The child: staff ratios to be utilized. b. Written consent from the parent prior to transportation. c. Emergency medical information and contacts for each child. d. The vehicle(s) must have a current vehicle registration and insurance. e. The driver must have access to a cell phone. f. A First Aid Kit must be on the vehicle(s) during transport. g. A plan (if applicable) when children are picked up and dropped off from home. The plan should include, but is not limited to: ￿ The driver/staff responsible for the child will have access to parental consent information with contact numbers ￿ The driver/staff will have access to a cell phone ￿ A designated place at the home where the parent/adult will meet staff to pick-up/drop-off child ￿ The child will not be left at home unless a parent/authorized adult is there to receive the child ￿ If the adult at the home is not familiar to the staff, they should request the adult’s identification and verify it against the authorized list provided by the parent to receive the child ￿ Procedure to follow if no one is at the child’s home to receive the child, or the adult is not authorized h. Tracking procedures to ensure that no child is left in the vehicle at the end of the trip or left unsupervised outside or inside the vehicle during loading and unloading. i. Written transportation plans for routine travel must be on file outlining the route to be followed. 2. The program must follow the policy as written. ABC Quality has created a policy template for Transportation Policy to support programs ability to meet this standard. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Large Family Group Child Care Homes Regulation 114- 515 I Transportation, (1) If the operator provides or arranges for transportation, the following transportation requirements apply: (a) The staffing ratios specified in 114-514A(2) apply. The driver of the vehicle shall not be counted in the ratios; (b) Transportation and placement of children shall be in accordance with state and federal laws; (c) A child shall not be left unattended in a vehicle; (d) The driver shall have a valid regular or commercial driver's license and shall be in compliance with Section 20-7-2725A(4) of the Code of Laws of 1976; (e) Use of tobacco products is prohibited in the vehicle; and (f) Written consent from the parent is required prior to transportation. (2) The following requirements apply for safe pick-up and drop-off: (a) The group child care home shall have safe crossways and designated pick-up and drop-off locations and communicate these locations to the parents; and (b) Children shall be supervised during boarding and exiting vehicles; Small Family Child Care Licensing Law, Section 63-13-830A (1), Inspections of family childcare homes. (A) When the department visits a family childcare home for purposes of an inspection or investigation pursuant to Section 63￿13￿80(A), it shall conduct the review to ensure the facility complies with the following: (1) health and safety of the children. Family Child Care Home Regulation 114-532 F (3)(d) Child’s Record, (3) Child’s health records ￿ The file shall contain the following: (d) Authorization from parent/guardian to transport child either to/from school, on field trips, and for emergency treatment. Family Child Care Home Policy 24; If the Family Child Care Home provides or arranges for transportation through contract, the following transportation requirements apply: • Each child shall be secured in an individual, age-appropriate safety restraint at all times when the vehicle is in motion. • Safety restraints shall be used in accordance with the manufacturer’s instructions. • A child shall not be left unattended in a vehicle. • The driver shall have a valid regular or commercial driver's license and shall be in compliance with Section 63-13-40 of the South Carolina Code of Laws. • There shall be a first aid kit and emergency health and contact information for each child in the vehicle. • Use of tobacco products is prohibited in the vehicle. • Written consent from each child’s parent/guardians are required prior to transporting any children. • When the Family Child Care Home provides transportation to and from a child's home, the staff shall be responsible for picking the child up and returning the child to a designated location. • The director and/or staff of the Family Child Care Home shall provide the driver of the vehicle with a record that lists the name, address, and telephone number of the Family Child Care Home and the names of each child being transported. The following requirements apply to ensure a safe pick-up and drop-off: • Children shall be directly supervised during the boarding and exiting of vehicles. • The operator shall have on file, in the Family Child Care Home, written permission from the parent(s)/guardian(s) to transport children to and from the Family Child Care Home, school, or other designated places, including planned field trips and activities. •Written transportation plans for routine travel shall be on file. Plans shall include a checklist to account for the loading and unloading of children at every location. School Bus Safety Standards, Section 56-5-195 (Jacob’s Law), SECTION 1. The 1976 Code is amended by adding: ￿Section 56-5-195. (A) Effective July 1, 2000, any entity transporting preprimary, primary, or secondary school students to or from school, school-related activities, or child care, and utilizing a vehicle defined as a ￿school bus’ under 49 U.S.C. Section 30125, as defined on April 5, 2000, must transport these students in a vehicle meeting federal school bus safety standards, as contained in 49 U.S.C. Section 30101, et seq., or any successor statutes, and all applicable federal regulations. Nothing in this section prohibits the transportation of children to or from child care in nonconforming vehicles by a State of South Carolina human service provider or public transportation authority as long as each child is accompanied by a parent or legal guardian whose transportation is in connection with his work, education, or training. (B) Notwithstanding subsection (A) of this section, any vehicle that is purchased before July 1, 2000, and is utilized to transport preprimary, primary, or secondary students to or from school, school-related activities, or child care is not subject to the requirements contained in subsection (A) of this section until July 1, 2006. A vehicle that is purchased on or after July 1, 2000, and is utilized to transport preprimary, primary, or secondary students to or from school, school-related activities, or child care is subject to the requirements contained in subsection (A) of this section once the vehicle is utilized for those purposes. (C) Before July 1, 2006, nothing in this section may be construed to create a duty or other obligation to cease utilizing nonconforming vehicles purchased before the effective date of this act. (D) To facilitate compliance with the provisions contained in this section, any entity contained in this section may purchase conforming vehicles under the State of South Carolina contracts for purchase of these vehicles. (E) Nothing in the section prohibits the transportation of students by common carriers that are not exclusively engaged in the transportation of school students or by the entities subject to this section which own or operate these vehicles. However, the motor carriage used by the common carrier or entity to transport students must be designed to carry thirty or more passengers.￿ Transporting Students; SC Department of Motor Vehicle Transporting Students (Transporting Students (scdmvonline.com). Precautions in transporting children ABC Quality Standard, Family and Group Child Care Home Policy Manual section 4.2.3f 4.2.3.f Transportation Policy (if applicable) Note: The program must comply with Jacob’s Law. 1. The policy must address the following: a. The child: staff ratios to be utilized. b. Written consent from the parent prior to transportation. c. Emergency medical information and contacts for each child. d. The vehicle(s) must have a current vehicle registration and insurance. e. The driver must have access to a cell phone. f. A First Aid Kit must be on the vehicle(s) during transport. g. A plan (if applicable) when children are picked up and dropped off from home. The plan should include, but is not limited to: ￿ The driver/staff responsible for the child will have access to parental consent information with contact numbers ￿ The driver/staff will have access to a cell phone ￿ A designated place at the home where the parent/adult will meet staff to pick-up/drop-off child ￿ The child will not be left at home unless a parent/authorized adult is there to receive the child ￿ If the adult at the home is not familiar to the staff, they should request the adult’s identification and verify it against the authorized list provided by the parent to receive the child ￿ Procedure to follow if no one is at the child’s home to receive the child, or the adult is not authorized h. Tracking procedures to ensure that no child is left in the vehicle at the end of the trip or left unsupervised outside or inside the vehicle during loading and unloading. i. Written transportation plans for routine travel must be on file outlining the route to be followed. 2. The program must follow the policy as written. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Precautions in transporting children ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6f 4.2.6.f Transportation Policy (if applicable) Note: The program must comply with Jacob’s Law (see History of Compliance 7.2.5.l) 1. The policy must address the following: a. The child: staff ratios to be utilized. b. Written consent from the parent prior to transportation. c. Emergency medical information and contacts for each child. d. The vehicle(s) must have a current vehicle registration and insurance. e. The driver must have access to a cell phone. f. A First Aid Kit must be on the vehicle(s) during transport. g. A plan (if applicable) when children are picked up and dropped off from home. The plan should include, but is not limited to: 1. The driver/staff responsible for the child will have access to parental consent information with contact numbers 2. The driver/staff will have access to a cell phone 3. A designated place at the home where the parent/adult will meet staff to pick- up/drop-off child 4. The child will not be left at home unless a parent/authorized adult is there to receive the child 5. If the adult at the home is not familiar to the staff, they should request the adult’s identification and verify it against the authorized list provided by the parent to receive the child 6. Procedure to follow if no one is at the child’s home to receive the child, or the adult is not authorized. h. Tracking procedures to ensure that no child is left in the vehicle at the end of the trip or left unsupervised outside or inside the vehicle during loading and unloading i. Written transportation plans for routine travel must be on file outlining the route to be followed. The program must follow the policy as written. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Precautions in transporting children Standard, FFN Policy Manual section 4.2.10 4.2.10 Transportation Policy (if applicable) a. If the provider will provide transportation, the policy must address: a. Written consent from parents prior to transportation. b. A plan (if applicable) if the child(ren) are to be picked up and dropped off from home. The plan should include times, who will be there with the child(ren) when picked up and who can receive the child(ren) at drop-off. Include the procedure as to what will happen if no one is there to receive the child or the person there is not recognized by the provider. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Non-related FFN providing in-home care must comply with this policy. Precautions in transporting children Standard, FFN Policy Manual section 4.2.10 4.2.10 Transportation Policy (if applicable) a. If the provider will provide transportation, the policy must address: a. Written consent from parents prior to transportation. b. A plan (if applicable) if the child(ren) are to be picked up and dropped off from home. The plan should include times, who will be there with the child(ren) when picked up and who can receive the child(ren) at drop-off. Include the procedure as to what will happen if no one is there to receive the child or the person there is not recognized by the provider. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ABC Quality only allows license-exempt programs that operate during the school year or year-round to participate. Summer-only programs are not eligible to enroll, as they would not be able to meet all eligibility requirements and be assigned a Quality Level before the program ends. (ABC Quality License Exempt Manual, Chapter 4 Eligibility Criteria to Participate, Section 4.1.2 Program Operations) Out-of-school programs that meet ABC Quality eligibility criteria are captured under the provider type of license-exempt center child care. Precautions in transporting children ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6f 4.2.6.f Transportation Policy (if applicable) Note: The program must comply with Jacob’s Law (see History of Compliance 7.2.5.l) 1. The policy must address the following: a. The child: staff ratios to be utilized. b. Written consent from the parent prior to transportation. c. Emergency medical information and contacts for each child. d. The vehicle(s) must have a current vehicle registration and insurance. e. The driver must have access to a cell phone. f. A First Aid Kit must be on the vehicle(s) during transport. g. A plan (if applicable) when children are picked up and dropped off from home. The plan should include, but is not limited to: 1. The driver/staff responsible for the child will have access to parental consent information with contact numbers 2. The driver/staff will have access to a cell phone 3. A designated place at the home where the parent/adult will meet staff to pick- up/drop-off child 4. The child will not be left at home unless a parent/authorized adult is there to receive the child 5. If the adult at the home is not familiar to the staff, they should request the adult’s identification and verify it against the authorized list provided by the parent to receive the child 6. Procedure to follow if no one is at the child’s home to receive the child, or the adult is not authorized. h. Tracking procedures to ensure that no child is left in the vehicle at the end of the trip or left unsupervised outside or inside the vehicle during loading and unloading i. Written transportation plans for routine travel must be on file outlining the route to be followed. The program must follow the policy as written. 5.3.10 Pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address pediatric first aid for all staff for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Child Care Licensing Law, Section 63.13.110. First aid and CPR certificates - During the hours of operation all childcare facilities, except registered family childcare homes, must have on the premises at least one caregiver with a current certificate for the provision of basic first aid and child-infant cardiopulmonary resuscitation. Child Care Center 114-503 K (5)(h) At least one person who is certified in pediatric first aid, including rescue breathing, CPR, and management of a blocked airway shall be present in the center at all times when children are in care, and during group outings or field trips. It is recommended that a CPR certified teacher be in each infant and toddler classroom at all times when children are in care. It is recommended that a CPR/first aid certified caregiver must always be present and immediately available when any child is eating. Training shall be provided by an individual who is certified as a trainer by a recognized health care organization. Pediatric First Aid for all staff ABC Quality Standard, Center Based Policy Manual section 4.3.2 4.3.2 Pediatric First Aid Any person responsible (including emergency persons) for the care and supervision of children must have and maintain current Pediatric First Aid (in-person and hands-on training by a nationally recognized training provider). ii. All CCDF-eligible licensed family child care homes. Provide the standard: Group Child Care Homes, Child Care Licensing Law, Section 63.13.110. First aid and CPR certificates, During the hours of operation all childcare facilities, except registered family childcare homes, must have on the premises at least one caregiver with a current certificate for the provision of basic first aid and child-infant cardiopulmonary resuscitation. Group Child Care Homes Regulation 114-513 K (5)(g) At least one person who is certified in pediatric first aid, including rescue breathing, CPR, and management of a blocked airway shall be present in the group child care home at all times when children are in care, and during group outings or field trips. Training shall be provided by an individual who is certified as a trainer by a recognized health care organization. Small Family (Licensed) Child Care Licensing Law, Section 63.13.110. First aid and CPR certificates, During the hours of operation all childcare facilities, except registered family childcare homes, must have on the premises at least one caregiver with a current certificate for the provision of basic first aid and child- infant cardiopulmonary resuscitation. Small Family (Licensed) Child Care Licensing Law, Section 63.13.110. First aid and CPR certificates. Family Child Care Home Regulation for Licensed Small Family 114-531 D (4)(k)(1), (l) Obtain infant/child CPR and first aid certificate that covers all hours of operation. 114-532 A (5), ) During the hours of operation all family child care homes, except registered family child care homes, shall have on the premises at least one caregiver with a current certificate for the provision of basic first aid and infant/child cardiopulmonary resuscitation. Registered Small Family Child Care Home Policy 4 Pediatric First Aid and CPR certificates, Pediatric First Aid and pediatric cardiopulmonary resuscitation (CPR) classes can be used toward the training requirements for registered Family Child Care Homes. Training must be conducted by a recognized health care organization. CPR must include a hands-on skills component. A copy of the certification(s) must be provided to licensing as proof of completion. (revised 05/23/2022). Pediatric First Aid for all staff ABC Quality Standard, Family and Group Child Care Home Policy Manual section 4.3.2 4.3.2 Pediatric First Aid Any person responsible (including emergency persons) for the care and supervision of children must have and maintain current Pediatric First Aid (in-person and hands-on training by a nationally recognized training provider). iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Pediatric First Aid for all staff ABC Quality Standard, License Exempt Center Policy Manual section 4.3.5 4.3.5 Pediatric First Aid Any person responsible (including emergency persons) for the care or supervision of children must have and maintain current Pediatric First Aid (in-person and hands-on training by a nationally recognized training provider). ABC Quality offers free training through the National Safety Council. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Pediatric First Aid for all staff Standard, FFN Policy Manual section 4.2.2 4.2.2 Pediatric First Aid This must be completed for any person responsible for the care or supervision of children to include an emergency person or additional providers. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Non-related FFN providing in-home care must comply with this standard. Pediatric First Aid for all staff Standard, FFN Policy Manual section 4.2.2 4.2.2 Pediatric First Aid This must be completed for any person responsible for the care or supervision of children to include an emergency person or additional providers. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ABC Quality only allows license-exempt programs that operate during the school year or year-round to participate. Summer-only programs are not eligible to enroll, as they would not be able to meet all eligibility requirements and be assigned a Quality Level before the program ends. (ABC Quality License Exempt Manual, Chapter 4 Eligibility Criteria to Participate, Section 4.1.2 Program Operations) Out-of-school programs that meet ABC Quality eligibility criteria are captured under the provider type of license-exempt center child care. Pediatric First Aid for all staff ABC Quality Standard, License Exempt Center Policy Manual section 4.3.5 4.3.5 Pediatric First Aid Any person responsible (including emergency persons) for the care or supervision of children must have and maintain current Pediatric First Aid (in-person and hands-on training by a nationally recognized training provider). ABC Quality offers free training through the National Safety Council. b. Provide the standards, appropriate to the provider setting and age of children, that address pediatric cardiopulmonary resuscitation for all staff for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Child Care Licensing Law, Section 63.13.110, First aid and CPR certificates, During the hours of operation all childcare facilities, except registered family childcare homes, must have on the premises at least one caregiver with a current certificate for the provision of basic first aid and child-infant cardiopulmonary resuscitation. Child Care Center 114-503 K (5)(h), At least one person who is certified in pediatric first aid, including rescue breathing, CPR, and management of a blocked airway shall be present in the center at all times when children are in care, and during group outings or field trips. It is recommended that a CPR certified teacher be in each infant and toddler classroom at all times when children are in care. It is recommended that a CPR/first aid certified caregiver must always be present and immediately available when any child is eating. Training shall be provided by an individual who is certified as a trainer by a recognized health care organization. Pediatric Cardiopulmonary Resuscitation for all staff ABC Quality Standard, Center Based Policy Manual section 4.3.3 4.3.3 Infant/Child Cardiopulmonary Resuscitation (CPR) Any person responsible (including emergency persons) for the care or supervision of children must have and maintain current Infant/Child CPR certification (in-person and hands-on training by a nationally recognized training provider). ii. All CCDF-eligible licensed family child care homes. Provide the standard: All CCDF- eligible licensed family child care homes. Provide the standard: Large Family- Group Child Care Homes, Child Care Licensing Law, Section 63.13.110. First aid and CPR certificates, During the hours of operation all childcare facilities, except registered family childcare homes, must have on the premises at least one caregiver with a current certificate for the provision of basic first aid and child- infant cardiopulmonary resuscitation. Group Child Care Homes Regulation 114- 513 K (5)(g) At least one person who is certified in pediatric first aid, including rescue breathing, CPR, and management of a blocked airway shall be present in the group child care home at all times when children are in care, and during group outings or field trips. Training shall be provided by an individual who is certified as a trainer by a recognized health care organization. Small Family (Licensed) Child Care Licensing Law, Section 63.13.110. First aid and CPR certificates, During the hours of operation all childcare facilities, except registered family childcare homes, must have on the premises at least one caregiver with a current certificate for the provision of basic first aid and child- infant cardiopulmonary resuscitation. Small Family (Licensed) Child Care Licensing Law, Section 63.13.110. First aid and CPR certificates. Family Child Care Home Regulation for Licensed Small Family 114-531 D (4)(k)(1), (l) Obtain infant/child CPR and first aid certificate that covers all hours of operation. 114-532 A (5), ) During the hours of operation all family child care homes, except registered family child care homes, shall have on the premises at least one caregiver with a current certificate for the provision of basic first aid and infant/child cardiopulmonary resuscitation. Registered Small Family Child Care Home Policy 4 Pediatric First Aid and CPR certificates, Pediatric First Aid and pediatric cardiopulmonary resuscitation (CPR) classes can be used toward the training requirements for registered Family Child Care Homes. Training must be conducted by a recognized health care organization. CPR must include a hands-on skills component. A copy of the certification(s) must be provided to licensing as proof of completion. (revised 05/23/2022). Pediatric Cardiopulmonary Resuscitation for all staff ABC Quality Standard, Family and Group Child Care Home Policy Manual section 4.3.3 4.3.3 Infant/Child Cardiopulmonary Resuscitation (CPR) Any person responsible (including emergency persons) for the care or supervision of children must have and maintain current Infant/Child CPR certification (in-person and hands-on training by a nationally recognized training provider). iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Pediatric Cardiopulmonary Resuscitation for all staff ABC Quality Standard, License Exempt Center Policy Manual section 4.3.6 4.3.6 Infant/Child Cardiopulmonary Resuscitation (CPR) Any person responsible (including emergency persons) for the care or supervision of children must have and maintain current infant/child CPR certification (inperson and hands-on training by a nationally recognized training provider). ABC Quality offers free training through the National Safety Council. v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Pediatric Cardiopulmonary Resuscitation for all staff Standard, FFN Policy Manual section 4.2.3 4.2.3 Infant/Child CPR This must be completed for any person responsible for the care or supervision of children to include an emergency person or additional providers. Note: both the CPR/FA course is provided at no cost through the National Safety Council. The CPR/FA course must be in person and cannot be on- line. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Non-related FFN providing in-home care must comply with this standard. Pediatric Cardiopulmonary Resuscitation for all staff Standard, FFN Policy Manual section 4.2.3 4.2.3 Infant/Child CPR This must be completed for any person responsible for the care or supervision of children to include an emergency person or additional providers. Note: both the CPR/FA course is provided at no cost through the National Safety Council. The CPR/FA course must be in person and cannot be on- line. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ABC Quality only allows license-exempt programs that operate during the school year or year-round to participate. Summer-only programs are not eligible to enroll, as they would not be able to meet all eligibility requirements and be assigned a Quality Level before the program ends. (ABC Quality License Exempt Manual, Chapter 4 Eligibility Criteria to Participate, Section 4.1.2 Program Operations) Out-of-school programs that meet ABC Quality eligibility criteria are captured under the provider type of license-exempt center child care. Pediatric Cardiopulmonary Resuscitation for all staff ABC Quality Standard, License Exempt Center Policy Manual section 4.3.6 4.3.6 Infant/Child Cardiopulmonary Resuscitation (CPR) Any person responsible (including emergency persons) for the care or supervision of children must have and maintain current infant/child CPR certification (inperson and hands-on training by a nationally recognized training provider). ABC Quality offers free training through the National Safety Council. 5.3.11 Identification and reporting of child abuse and neglect health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the identification of child abuse and neglect for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Child Protection and Permanency Law, 63-7-310 Persons required to report, (A) A physician, nurse, dentist, optometrist, medical examiner, or coroner, or an employee of a county medical examiner’s or coroner’s office, or any other medical, emergency medical services, mental health, or allied health professional, member of the clergy including a Christian Science Practitioner or religious healer, school teacher, counselor, principal, assistant principal, social or public assistance worker, substance abuse treatment staff, or childcare worker in a childcare center or foster care facility, police or law enforcement officer, undertaker, funeral home director or employee of a funeral home, persons responsible for processing films, computer technician, or a judge must report in accordance with this section when in the person’s professional capacity the person has received information which gives the person reason to believe that a child has been or may be abused or neglected as defined in Section 63-7-20. (B) If a person required to report pursuant to subsection (A) has received information in the person’s professional capacity which gives the person reason to believe that a child’s physical or mental health or welfare has been or may be adversely affected by acts or omissions that would be child abuse or neglect if committed by a parent, guardian, or other person responsible for the child’s welfare, but the reporter believes that the act or omission was committed by a person other than the parent, guardian, or other person responsible for the child’s welfare, the reporter must make a report to the appropriate law enforcement agency. (C) Except as provided in subsection (A), any person who has reason to believe that a child’s physical or mental health or welfare has been or may be adversely affected by abuse and neglect may report in accordance with this section. (D) Reports of child abuse or neglect may be made orally by telephone or otherwise to the county department of social services or to a law enforcement agency in the county where the child resides or is found.; 114- 503 C(1) Child Abuse, The center shall immediately report suspected child abuse or child neglect to the Department’s Office of Child Protective and Preventive Services or to local law enforcement in accordance with South Carolina Code Annotated Section 63-7-310 . 114-503 D2(h) Reports of alleged child abuse involving the owner, director, or any staff person. Identification of Child Abuse and Neglect ABC Quality Standard, Center Based Policy Manual section 4.2.3d 4.2.3.d Child Abuse and Neglect Policy Child care providers are mandated reporters and have the responsibility to protect those who cannot protect themselves. As a mandated reporter, caregiving staff are an important part of the system to protect children. 1. The policy must identify: a. The Child Abuse and Neglect Law: ￿Child Abuse Prevention and Treatment Act (CAPTA), originally enacted in 1974 (Public Law 93-247) and reauthorized in 2010, is the largest body of legislation with regard to the fair, ethical, and legal treatment of children and is intended to keep them free from all forms of abuse including physical, sexual, emotional, and psychological.￿b. Information on types of abuse or neglect that staff may look for. Examples include but are not limited to: Child has frequent injuries or ￿accidents,￿ unexplained burns, cuts, bites, fading bruises or other marks noticeable after an absence from school or the explanation does not match the injury. Child is always watchful and ￿on alert,￿ as if waiting for something bad to happen. Injuries appear to have a pattern or resemble an item such as marks from a hand or belt. Child shies away from touch, flinches at sudden movements, or seems afraid to go home. Child arrives each day very hungry, unclean (body or clothing) or perhaps is covered in ABC Quality Center-based Manual (June 3, 2024) 12 bug bites, takes food to eat at home, etc. ￿ things that would suggest the child is not receiving proper care at home. The child may also share information with the staff regarding things that are happening in the home which places the child in danger, e.g., parents use illegal drugs or substances, or someone in the home is abusing them (physically or sexually) c. Procedures when staff suspect a child may be neglected at home and when staff see other staff abuse or neglect children in the facility. How to make a report. The policy will state: Suspected child abuse or neglect must be reported to: 1) DSS Office of Child Protective and Preventive Services with The Office of Out of Home Abuse and Neglect (OHAN). DSS has implemented a centralized phone number for all counties to report suspected cases, or this may be done online at the following link. Both can be reported 365 days per year, 24 hours a day, 7 days a week at 1-888-227-3487 or https://dss.sc.gov/child-well-being/report-child- abuse-andneglect/. 2) DSS/ABC Quality at 1-800-876-2223 d. Mandated Reporter Law Section 63-7-310 (https://www.scstatehouse.gov/code/t63c007.php) e. Procedure for training staff as mandated reporters f. Statement regarding the program’s cooperation in allowing DSS staff to conduct any on-site investigation and/or obtain necessary documentation to include any video footage g. Release of staff and children’s records as appropriate and upon request 2. The program must follow the policy as written ii. All CCDF-eligible licensed family child care homes. Provide the standard: Child Protection and Permanency Law, 63-7-310 Persons required to report, (A) A physician, nurse, dentist, optometrist, medical examiner, or coroner, or an employee of a county medical examiner’s or coroner’s office, or any other medical, emergency medical services, mental health, or allied health professional, member of the clergy including a Christian Science Practitioner or religious healer, school teacher, counselor, principal, assistant principal, social or public assistance worker, substance abuse treatment staff, or childcare worker in a childcare center or foster care facility, police or law enforcement officer, undertaker, funeral home director or employee of a funeral home, persons responsible for processing films, computer technician, or a judge must report in accordance with this section when in the person’s professional capacity the person has received information which gives the person reason to believe that a child has been or may be abused or neglected as defined in Section 63-7-20. (B) If a person required to report pursuant to subsection (A) has received information in the person’s professional capacity which gives the person reason to believe that a child’s physical or mental health or welfare has been or may be adversely affected by acts or omissions that would be child abuse or neglect if committed by a parent, guardian, or other person responsible for the child’s welfare, but the reporter believes that the act or omission was committed by a person other than the parent, guardian, or other person responsible for the child’s welfare, the reporter must make a report to the appropriate law enforcement agency. (C) Except as provided in subsection (A), any person who has reason to believe that a child’s physical or mental health or welfare has been or may be adversely affected by abuse and neglect may report in accordance with this section. (D) Reports of child abuse or neglect may be made orally by telephone or otherwise to the county department of social services or to a law enforcement agency in the county where the child resides or is found; Large Family, Group Child Care, 114-513 C(1) Child Abuse, The group child care home shall immediately report suspected child abuse or child neglect to the Department’s Office of Child Protective and Preventive Services (CPS) or to local law enforcement in accordance with South Carolina Code Annotated Section 20-7- 510. Small Family, Family Child Care Homes 63-13-840 A(2) When the department visits a family childcare home for purposes of an inspection or investigation pursuant to Section 63￿13￿80(A)(2), it shall conduct the review to ensure the facility complies with the following: no evidence of child abuse; Family Child Care Home 114-532B (1) The operator of a family child care home shall immediately report suspected child abuse or neglect to the Department’s Child Protective Services (CPS) or to local law enforcement in accordance with Section 63-7-310, South Carolina Code of Laws. Identification of Child Abuse and Neglect ABC Quality Standard, Family and Group Child Care Home Policy Manual section 4.2.3d 4.2.3.d Child Abuse and Neglect Policy Child care providers are mandated reporters and have the responsibility to protect those who cannot protect themselves. As a mandated reporter, caregiving staff are an important part of the system to protect children. 1. The policy must identify: a. The Child Abuse and Neglect Law: ￿Child Abuse Prevention and Treatment Act (CAPTA), originally enacted in 1974 (Public Law 93-247) and reauthorized in 2010, is the largest body of legislation with regard to the fair, ethical, and legal treatment of children and is intended to keep them free from all forms of abuse including physical, sexual, emotional, and psychological.￿b. Information on types of abuse or neglect that staff may look for. Examples include but are not limited to: Child has frequent injuries or ￿accidents,￿ unexplained burns, cuts, bites, fading bruises or other marks noticeable after an absence from school or the explanation does not match the injury. Child is always watchful and ￿on alert,￿ as if waiting for something bad to happen. Injuries appear to have a pattern or resemble an item such as marks from a hand or belt. Child shies away from touch, flinches at sudden movements, or seems afraid to go home. Child arrives each day very hungry, unclean (body or clothing) or perhaps is covered in ABC Quality Center-based Manual (June 3, 2024) 12 bug bites, takes food to eat at home, etc. ￿ things that would suggest the child is not receiving proper care at home. The child may also share information with the staff regarding things that are happening in the home which places the child in danger, e.g., parents use illegal drugs or substances, or someone in the home is abusing them (physically or sexually) c. Procedures when staff suspect a child may be neglected at home and when staff see other staff abuse or neglect children in the facility. How to make a report. The policy will state: Suspected child abuse or neglect must be reported to: 1) DSS Office of Child Protective and Preventive Services with The Office of Out of Home Abuse and Neglect (OHAN). DSS has implemented a centralized phone number for all counties to report suspected cases, or this may be done online at the following link. Both can be reported 365 days per year, 24 hours a day, 7 days a week at 1-888-227-3487 or https://dss.sc.gov/child-well-being/report-child- abuse-andneglect/. 2) DSS/ABC Quality at 1-800-876-2223 d. Mandated Reporter Law Section 63-7-310 (https://www.scstatehouse.gov/code/t63c007.php) e. Procedure for training staff as mandated reporters f. Statement regarding the program’s cooperation in allowing DSS staff to conduct any on-site investigation and/or obtain necessary documentation to include any video footage g. Release of staff and children’s records as appropriate and upon request 2. The program must follow the policy as written iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Identification of Child Abuse and Neglect ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6d 4.2.6.d Child Abuse and Neglect Policy Child care providers are mandated reporters and have the responsibility to protect those who cannot protect themselves. As a mandated reporter, caregiving staff are an important part of the system to protect children. The policy must identify: 1. The Child Abuse and Neglect Law: ￿Child Abuse Prevention and Treatment Act (CAPTA), originally enacted in 1974 (Public Law 93- 247) and reauthorized in 2010, is the largest body of legislation with regard to the fair, ethical, and legal treatment of children and is intended to keep them free from all forms of abuse including physical, sexual, emotional, and psychological.￿ 2. Information on types of abuse or neglect that staff may look for. Examples include but are not limited to: Child has frequent injuries or ￿accidents,￿ unexplained burns, cuts, bites, fading bruises or other marks noticeable after an absence from school or the explanation does not match the injury. Child is always watchful and ￿on alert,￿ as if waiting for something bad to happen. Injuries appear to have a pattern or resemble an item such as marks from a hand or belt. Child shies away from touch, flinches at sudden movements, or seems afraid to go home. Child arrives each day very hungry, unclean (body or clothing) or perhaps is covered in bug bites, takes food to eat at home, etc. ￿ things that would suggest the child is not receiving proper care at home. The child may also share information with the staff regarding things that are happening in the home which places the child in danger, e.g., parents use illegal drugs or substances, or someone in the home is abusing them (physically or sexually) 3. Procedures when staff suspect a child may be neglected at home and when staff see other staff abuse or neglect children in the facility. How to make a report. The policy will state: Suspected child abuse or neglect must be reported to: 1) DSS Office of Child Protective and Preventive Services with The Office of Out of Home Abuse and Neglect (OHAN). DSS has implemented a centralized phone number for all counties to report suspected cases, or this may be done online at the following link. Both can be reported 365 days per year, 24 hours a day, 7 days a week at 1-888-227-3487 or https://dss.sc.gov/child-well- being/report-childabuse-and-neglect/. 2) DSS/ABC Quality at 1-800-876-2223. a. Mandated Reporter Law Section 63-7-310 (https://www.scstatehouse.gov/code/t63c007.php) b. Procedure for training staff as mandated reporters c. Statement regarding the program’s cooperation in allowing DSS staff to conduct any on-site investigation and/or obtain necessary documentation to include any video footage d. Release of staff and children’s records as appropriate and upon request 2. The program must follow the policy as written v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Identification of Child Abuse and Neglect Standard, FFN Policy Manual section 4.2.9 4.2.9 Child Abuse and Neglect Policy The Department of Social Services is authorized to receive and investigate reports of abuse and neglect of children who reside in or receive care or supervision in residential institutions, foster homes, and childcare facilities. Responsibility for investigating these entities must be assigned to a unit or units not responsible for selecting or licensing these entities. To investigate allegations of abuse and neglect, the Out of Home Abuse and Neglect Office (OHAN) at the SC Department of Social Services shall visit to determine if the abuse or neglect complaint is true. The operator shall: Cooperate with the Department staff during an investigation of child abuse or neglect. Cooperation shall include the following: a. Participate in informal conferences with OHAN staff b. Release records as appropriate, of children and staff upon request; and c. Allow access to the FCCH or FFN premises for inspection and investigation of the child abuse allegation by OHAN and other officials as permitted by statute. FFN Providers must have a policy that identifies: a. The procedure for reporting suspected child abuse or neglect to DSS’ Office of Child Protective and Preventative Services, The Office of Out of Home Abuse and Neglect (OHAN). b. What to do when the FFN provider or emergency person suspect abuse/neglect at the child’s home or in the FFN Provider home. c. Information on types of abuse or neglect that staff may look for, e.g. d. Suspected child abuse or neglect must be reported to: 1. DSS’ Office of Child Protective and Preventive Services with The Office of Out of Home Abuse and Neglect (OHAN). DSS has implemented a centralized number for all counties to report suspected cases, as well as this can be done online at the following link: Both can be reported 365 days per year, 24 hours a day 7 days a week at 1-888-227-3487 or https://dss.sc.gov/abuseneglect/report- child-abuse-and-neglect/ 2. DSS/Licensing at 1-800-556-7445 a. The Mandated Reporter Law Section 63-7-310. Can be found here: (https://www.scstatehouse.gov/code/t63c007.php) b. Statement regarding the provider’s cooperation in allowing DSS staff to conduct any on-site investigation and/or obtain necessary documentation such as the release of staff and children’s records as appropriate and upon request. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Non-related FFN providing in-home care must comply with this standard. Family Friend, Neighbor Policy Manual, Section 4.2.9 FFN Providers must have a policy that identifies: Identification of Child Abuse and Neglect Standard, FFN Policy Manual section 4.2.9 4.2.9 Child Abuse and Neglect Policy The Department of Social Services is authorized to receive and investigate reports of abuse and neglect of children who reside in or receive care or supervision in residential institutions, foster homes, and childcare facilities. Responsibility for investigating these entities must be assigned to a unit or units not responsible for selecting or licensing these entities. To investigate allegations of abuse and neglect, the Out of Home Abuse and Neglect Office (OHAN) at the SC Department of Social Services shall visit to determine if the abuse or neglect complaint is true. The operator shall: Cooperate with the Department staff during an investigation of child abuse or neglect. Cooperation shall include the following: a. Participate in informal conferences with OHAN staff b. Release records as appropriate, of children and staff upon request; and c. Allow access to the FCCH or FFN premises for inspection and investigation of the child abuse allegation by OHAN and other officials as permitted by statute. FFN Providers must have a policy that identifies: a. The procedure for reporting suspected child abuse or neglect to DSS’ Office of Child Protective and Preventative Services, The Office of Out of Home Abuse and Neglect (OHAN). b. What to do when the FFN provider or emergency person suspect abuse/neglect at the child’s home or in the FFN Provider home. c. Information on types of abuse or neglect that staff may look for, e.g. d. Suspected child abuse or neglect must be reported to: 1. DSS’ Office of Child Protective and Preventive Services with The Office of Out of Home Abuse and Neglect (OHAN). DSS has implemented a centralized number for all counties to report suspected cases, as well as this can be done online at the following link: Both can be reported 365 days per year, 24 hours a day 7 days a week at 1-888-227-3487 or https://dss.sc.gov/abuseneglect/report- child-abuse-and-neglect/ 2. DSS/Licensing at 1-800-556-7445 a. The Mandated Reporter Law Section 63-7-310. Can be found here: (https://www.scstatehouse.gov/code/t63c007.php) b. Statement regarding the provider’s cooperation in allowing DSS staff to conduct any on-site investigation and/or obtain necessary documentation such as the release of staff and children’s records as appropriate and upon request. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ABC Quality only allows license-exempt programs that operate during the school year or year-round to participate. Summer-only programs are not eligible to enroll, as they would not be able to meet all eligibility requirements and be assigned a Quality Level before the program ends. (ABC Quality License Exempt Manual, Chapter 4 Eligibility Criteria to Participate, Section 4.1.2 Program Operations) Out-of-school programs that meet ABC Quality eligibility criteria are captured under the provider type of license-exempt center child care. Identification of Child Abuse and Neglect ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6d 4.2.6.d Child Abuse and Neglect Policy Child care providers are mandated reporters and have the responsibility to protect those who cannot protect themselves. As a mandated reporter, caregiving staff are an important part of the system to protect children. The policy must identify: 1. The Child Abuse and Neglect Law: ￿Child Abuse Prevention and Treatment Act (CAPTA), originally enacted in 1974 (Public Law 93- 247) and reauthorized in 2010, is the largest body of legislation with regard to the fair, ethical, and legal treatment of children and is intended to keep them free from all forms of abuse including physical, sexual, emotional, and psychological.￿ 2. Information on types of abuse or neglect that staff may look for. Examples include but are not limited to: Child has frequent injuries or ￿accidents,￿ unexplained burns, cuts, bites, fading bruises or other marks noticeable after an absence from school or the explanation does not match the injury. Child is always watchful and ￿on alert,￿ as if waiting for something bad to happen. Injuries appear to have a pattern or resemble an item such as marks from a hand or belt. Child shies away from touch, flinches at sudden movements, or seems afraid to go home. Child arrives each day very hungry, unclean (body or clothing) or perhaps is covered in bug bites, takes food to eat at home, etc. ￿ things that would suggest the child is not receiving proper care at home. The child may also share information with the staff regarding things that are happening in the home which places the child in danger, e.g., parents use illegal drugs or substances, or someone in the home is abusing them (physically or sexually) 3. Procedures when staff suspect a child may be neglected at home and when staff see other staff abuse or neglect children in the facility. How to make a report. The policy will state: Suspected child abuse or neglect must be reported to: 1) DSS Office of Child Protective and Preventive Services with The Office of Out of Home Abuse and Neglect (OHAN). DSS has implemented a centralized phone number for all counties to report suspected cases, or this may be done online at the following link. Both can be reported 365 days per year, 24 hours a day, 7 days a week at 1-888-227-3487 or https://dss.sc.gov/child-well- being/report-childabuse-and-neglect/. 2) DSS/ABC Quality at 1-800-876-2223. a. Mandated Reporter Law Section 63-7-310 (https://www.scstatehouse.gov/code/t63c007.php) b. Procedure for training staff as mandated reporters c. Statement regarding the program’s cooperation in allowing DSS staff to conduct any on-site investigation and/or obtain necessary documentation to include any video footage d. Release of staff and children’s records as appropriate and upon request 2. The program must follow the policy as written b. Provide your standards, appropriate to the provider setting and age of children, that address the reporting of child abuse and neglect for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: Child Protection and Permanency Law, 63-7-310 Persons required to report, (A) A physician, nurse, dentist, optometrist, medical examiner, or coroner, or an employee of a county medical examiner’s or coroner’s office, or any other medical, emergency medical services, mental health, or allied health professional, member of the clergy including a Christian Science Practitioner or religious healer, school teacher, counselor, principal, assistant principal, social or public assistance worker, substance abuse treatment staff, or childcare worker in a childcare center or foster care facility, police or law enforcement officer, undertaker, funeral home director or employee of a funeral home, persons responsible for processing films, computer technician, or a judge must report in accordance with this section when in the person’s professional capacity the person has received information which gives the person reason to believe that a child has been or may be abused or neglected as defined in Section 63-7-20. 114-503 C (1) The center shall immediately report suspected child abuse or child neglect to the Department’s Office of Child Protective and Preventive Services or to local law enforcement in accordance with South Carolina Code Annotated Section 63-7-310; and 114-503 D2(h) The following incidents shall be reported to the Department immediately and may be investigated by the Department, Reports of alleged child abuse involving the owner, director, or any staff person. ABC Quality licensed center care must have policies in place that meet the standard that address the identification of child abuse and neglect. Child care providers are mandated reporters and have the responsibility to protect those who cannot protect themselves. As a mandated reporter, caregiving staff are an important part of the system to protect children. The policy must include the Child Abuse and Neglect Law (Child Abuse and Neglect Law, CAPTA, 1974, Public Law 93-247); information on types of abuse or neglect that staff may look for; procedures when staff suspect a child may be neglected at home and when staff see other staff abuse or neglect children in the facility; how to make a report of suspected abuse or neglect (contact SCDSS Office of Child Protective Services with the Office of Out of Home Abuse and Neglect OHAN, contact SCDSS/ABC Quality); Mandated Reporter Law Section 63-7-310; procedure for training staff as mandated reporters; statement regarding the program’s cooperation in allowing SCDSS staff to conduct any on-site investigation and/or obtain necessary documentation to include any video footage; release of staff and children’s records as appropriate and upon request. The program must follow policy as written. (ABC Quality Center-Based Manual, Chapter 4 Eligibility Criteria to Participate, 4.2.3.d. Child Abuse and Neglect Policy). ABC Quality has created a policy template for Child Abuse and Neglect Policy to support program’s ability to meet this standard. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Large Family, Group Child Care Home Child Protection and Permanency Law, 63-7-310 Persons required to report, ; Child Protection and Permanency Law, 63-7-310 Persons required to report, (A) A physician, nurse, dentist, optometrist, medical examiner, or coroner, or an employee of a county medical examiner’s or coroner’s office, or any other medical, emergency medical services, mental health, or allied health professional, member of the clergy including a Christian Science Practitioner or religious healer, school teacher, counselor, principal, assistant principal, social or public assistance worker, substance abuse treatment staff, or childcare worker in a childcare center or foster care facility, police or law enforcement officer, undertaker, funeral home director or employee of a funeral home, persons responsible for processing films, computer technician, or a judge must report in accordance with this section when in the person’s professional capacity the person has received information which gives the person reason to believe that a child has been or may be abused or neglected as defined in Section 63-7-20. (B) If a person required to report pursuant to subsection (A) has received information in the person’s professional capacity which gives the person reason to believe that a child’s physical or mental health or welfare has been or may be adversely affected by acts or omissions that would be child abuse or neglect if committed by a parent, guardian, or other person responsible for the child’s welfare, but the reporter believes that the act or omission was committed by a person other than the parent, guardian, or other person responsible for the child’s welfare, the reporter must make a report to the appropriate law enforcement agency. (C) Except as provided in subsection (A), any person who has reason to believe that a child’s physical or mental health or welfare has been or may be adversely affected by abuse and neglect may report in accordance with this section. (D) Reports of child abuse or neglect may be made orally by telephone or otherwise to the county department of social services or to a law enforcement agency in the county where the child resides or is found; Group Family Child Care Home Regulation 114-513 D (2)(g) Child Abuse, The group child care home shall immediately report suspected child abuse or child neglect to the Department’s Office of Child Protective and Preventive Services (CPS) or to local law enforcement in accordance with South Carolina Code Annotated Section 20-7- 510. Small Family, Family Child Care Homes 63-13-840 A(2) When the department visits a family childcare home for purposes of an inspection or investigation pursuant to Section 63￿13￿80(A)(2), it shall conduct the review to ensure the facility complies with the following: no evidence of child abuse; Small Family, Family Child Care Home Regulation 114-532 B (1), Child Abuse(1) The operator of a family child care home shall immediately report suspected child abuse or neglect to the Department’s Child Protective Services (CPS) or to local law enforcement in accordance with Section 63-7-310, South Carolina Code of Laws, 114-532 C (1) (h). Reporting Incidents (1) The operator shall report the following incidents to the parents/guardians immediately and report to the Department within twenty-four (24) hours after the occurrence, (h) Reports of alleged child abuse involving the operator, any staff person, or any household member. Family Child Care Home Policy 35, The operator shall report death of a child or staff member, injuries of a child, medical treatments for a child, facility damage(s), criminal charges/convictions, and incidents of child abuse or neglect to the Department within 24 hours of occurrence. (revised 05/23/2022). Reporting Child Abuse and Neglect ABC Quality Standard, Family and Group Child Care Home Policy Manual section 4.2.3d 4.2.3.d Child Abuse and Neglect Policy Child care providers are mandated reporters and have the responsibility to protect those who cannot protect themselves. As a mandated reporter, caregiving staff are an important part of the system to protect children. 1. The policy must identify: a. The Child Abuse and Neglect Law: ￿Child Abuse Prevention and Treatment Act (CAPTA), originally enacted in 1974 (Public Law 93-247) and reauthorized in 2010, is the largest body of legislation with regard to the fair, ethical, and legal treatment of children and is intended to keep them free from all forms of abuse including physical, sexual, emotional, and psychological.￿b. Information on types of abuse or neglect that staff may look for. Examples include but are not limited to: Child has frequent injuries or ￿accidents,￿ unexplained burns, cuts, bites, fading bruises or other marks noticeable after an absence from school or the explanation does not match the injury. Child is always watchful and ￿on alert,￿ as if waiting for something bad to happen. Injuries appear to have a pattern or resemble an item such as marks from a hand or belt. Child shies away from touch, flinches at sudden movements, or seems afraid to go home. Child arrives each day very hungry, unclean (body or clothing) or perhaps is covered in ABC Quality Center-based Manual (June 3, 2024) 12 bug bites, takes food to eat at home, etc. ￿ things that would suggest the child is not receiving proper care at home. The child may also share information with the staff regarding things that are happening in the home which places the child in danger, e.g., parents use illegal drugs or substances, or someone in the home is abusing them (physically or sexually) c. Procedures when staff suspect a child may be neglected at home and when staff see other staff abuse or neglect children in the facility. How to make a report. The policy will state: Suspected child abuse or neglect must be reported to: 1) DSS Office of Child Protective and Preventive Services with The Office of Out of Home Abuse and Neglect (OHAN). DSS has implemented a centralized phone number for all counties to report suspected cases, or this may be done online at the following link. Both can be reported 365 days per year, 24 hours a day, 7 days a week at 1-888-227-3487 or https://dss.sc.gov/child-well-being/report-child- abuse-andneglect/. 2) DSS/ABC Quality at 1-800-876-2223 d. Mandated Reporter Law Section 63-7-310 (https://www.scstatehouse.gov/code/t63c007.php) e. Procedure for training staff as mandated reporters f. Statement regarding the program’s cooperation in allowing DSS staff to conduct any on-site investigation and/or obtain necessary documentation to include any video footage g. Release of staff and children’s records as appropriate and upon request 2. The program must follow the policy as written ABC Quality has created a policy template for Child Abuse and Neglect Policy to support program’s ability to meet this standard. iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: Reporting Child Abuse and Neglect ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6d 4.2.6.d Child Abuse and Neglect Policy Child care providers are mandated reporters and have the responsibility to protect those who cannot protect themselves. As a mandated reporter, caregiving staff are an important part of the system to protect children. The policy must identify: 1. The Child Abuse and Neglect Law: ￿Child Abuse Prevention and Treatment Act (CAPTA), originally enacted in 1974 (Public Law 93- 247) and reauthorized in 2010, is the largest body of legislation with regard to the fair, ethical, and legal treatment of children and is intended to keep them free from all forms of abuse including physical, sexual, emotional, and psychological.￿ 2. Information on types of abuse or neglect that staff may look for. Examples include but are not limited to: Child has frequent injuries or ￿accidents,￿ unexplained burns, cuts, bites, fading bruises or other marks noticeable after an absence from school or the explanation does not match the injury. Child is always watchful and ￿on alert,￿ as if waiting for something bad to happen. Injuries appear to have a pattern or resemble an item such as marks from a hand or belt. Child shies away from touch, flinches at sudden movements, or seems afraid to go home. Child arrives each day very hungry, unclean (body or clothing) or perhaps is covered in bug bites, takes food to eat at home, etc. ￿ things that would suggest the child is not receiving proper care at home. The child may also share information with the staff regarding things that are happening in the home which places the child in danger, e.g., parents use illegal drugs or substances, or someone in the home is abusing them (physically or sexually) 3. Procedures when staff suspect a child may be neglected at home and when staff see other staff abuse or neglect children in the facility. How to make a report. The policy will state: Suspected child abuse or neglect must be reported to: 1) DSS Office of Child Protective and Preventive Services with The Office of Out of Home Abuse and Neglect (OHAN). DSS has implemented a centralized phone number for all counties to report suspected cases, or this may be done online at the following link. Both can be reported 365 days per year, 24 hours a day, 7 days a week at 1-888-227-3487 or https://dss.sc.gov/child-well- being/report-childabuse-and-neglect/. 2) DSS/ABC Quality at 1-800-876-2223. a. Mandated Reporter Law Section 63-7-310 (https://www.scstatehouse.gov/code/t63c007.php) b. Procedure for training staff as mandated reporters c. Statement regarding the program’s cooperation in allowing DSS staff to conduct any on-site investigation and/or obtain necessary documentation to include any video footage d. Release of staff and children’s records as appropriate and upon request 2. The program must follow the policy as written v. All CCDF-eligible license-exempt family child care homes. Provide the standard: Reporting Child Abuse and Neglect Standard, FFN Policy Manual section 4.2.9 4.2.9 Child Abuse and Neglect Policy The Department of Social Services is authorized to receive and investigate reports of abuse and neglect of children who reside in or receive care or supervision in residential institutions, foster homes, and childcare facilities. Responsibility for investigating these entities must be assigned to a unit or units not responsible for selecting or licensing these entities. To investigate allegations of abuse and neglect, the Out of Home Abuse and Neglect Office (OHAN) at the SC Department of Social Services shall visit to determine if the abuse or neglect complaint is true. The operator shall: Cooperate with the Department staff during an investigation of child abuse or neglect. Cooperation shall include the following: a. Participate in informal conferences with OHAN staff b. Release records as appropriate, of children and staff upon request; and c. Allow access to the FCCH or FFN premises for inspection and investigation of the child abuse allegation by OHAN and other officials as permitted by statute. FFN Providers must have a policy that identifies: a. The procedure for reporting suspected child abuse or neglect to DSS’ Office of Child Protective and Preventative Services, The Office of Out of Home Abuse and Neglect (OHAN). b. What to do when the FFN provider or emergency person suspect abuse/neglect at the child’s home or in the FFN Provider home. c. Information on types of abuse or neglect that staff may look for, e.g. d. Suspected child abuse or neglect must be reported to: 2. DSS’ Office of Child Protective and Preventive Services with The Office of Out of Home Abuse and Neglect (OHAN). DSS has implemented a centralized number for all counties to report suspected cases, as well as this can be done online at the following link: Both can be reported 365 days per year, 24 hours a day 7 days a week at 1-888-227-3487 or https://dss.sc.gov/abuseneglect/report- child-abuse-and-neglect/ 2. DSS/Licensing at 1-800-556-7445 c. The Mandated Reporter Law Section 63-7-310. Can be found here: (https://www.scstatehouse.gov/code/t63c007.php) d. Statement regarding the provider’s cooperation in allowing DSS staff to conduct any on-site investigation and/or obtain necessary documentation such as the release of staff and children’s records as appropriate and upon request. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Non-related FFN providing in-home care must comply with this standard. Reporting Child Abuse and Neglect Standard, FFN Policy Manual section 4.2.9 4.2.9 Child Abuse and Neglect Policy The Department of Social Services is authorized to receive and investigate reports of abuse and neglect of children who reside in or receive care or supervision in residential institutions, foster homes, and childcare facilities. Responsibility for investigating these entities must be assigned to a unit or units not responsible for selecting or licensing these entities. To investigate allegations of abuse and neglect, the Out of Home Abuse and Neglect Office (OHAN) at the SC Department of Social Services shall visit to determine if the abuse or neglect complaint is true. The operator shall: Cooperate with the Department staff during an investigation of child abuse or neglect. Cooperation shall include the following: a. Participate in informal conferences with OHAN staff b. Release records as appropriate, of children and staff upon request; and c. Allow access to the FCCH or FFN premises for inspection and investigation of the child abuse allegation by OHAN and other officials as permitted by statute. FFN Providers must have a policy that identifies: a. The procedure for reporting suspected child abuse or neglect to DSS’ Office of Child Protective and Preventative Services, The Office of Out of Home Abuse and Neglect (OHAN). b. What to do when the FFN provider or emergency person suspect abuse/neglect at the child’s home or in the FFN Provider home. c. Information on types of abuse or neglect that staff may look for, e.g. d. Suspected child abuse or neglect must be reported to: 2. DSS’ Office of Child Protective and Preventive Services with The Office of Out of Home Abuse and Neglect (OHAN). DSS has implemented a centralized number for all counties to report suspected cases, as well as this can be done online at the following link: Both can be reported 365 days per year, 24 hours a day 7 days a week at 1-888-227-3487 or https://dss.sc.gov/abuseneglect/report- child-abuse-and-neglect/ 2. DSS/Licensing at 1-800-556-7445 c. The Mandated Reporter Law Section 63-7-310. Can be found here: (https://www.scstatehouse.gov/code/t63c007.php) d. Statement regarding the provider’s cooperation in allowing DSS staff to conduct any on-site investigation and/or obtain necessary documentation such as the release of staff and children’s records as appropriate and upon request. vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: ABC Quality only allows license-exempt programs that operate during the school year or year-round to participate. Summer-only programs are not eligible to enroll, as they would not be able to meet all eligibility requirements and be assigned a Quality Level before the program ends. (ABC Quality License Exempt Manual, Chapter 4 Eligibility Criteria to Participate, Section 4.1.2 Program Operations) Out-of-school programs that meet ABC Quality eligibility criteria are captured under the provider type of license-exempt center child care. Reporting Child Abuse and Neglect ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6d 4.2.6.d Child Abuse and Neglect Policy Child care providers are mandated reporters and have the responsibility to protect those who cannot protect themselves. As a mandated reporter, caregiving staff are an important part of the system to protect children. The policy must identify: 1. The Child Abuse and Neglect Law: ￿Child Abuse Prevention and Treatment Act (CAPTA), originally enacted in 1974 (Public Law 93- 247) and reauthorized in 2010, is the largest body of legislation with regard to the fair, ethical, and legal treatment of children and is intended to keep them free from all forms of abuse including physical, sexual, emotional, and psychological.￿ 2. Information on types of abuse or neglect that staff may look for. Examples include but are not limited to: Child has frequent injuries or ￿accidents,￿ unexplained burns, cuts, bites, fading bruises or other marks noticeable after an absence from school or the explanation does not match the injury. Child is always watchful and ￿on alert,￿ as if waiting for something bad to happen. Injuries appear to have a pattern or resemble an item such as marks from a hand or belt. Child shies away from touch, flinches at sudden movements, or seems afraid to go home. Child arrives each day very hungry, unclean (body or clothing) or perhaps is covered in bug bites, takes food to eat at home, etc. ￿ things that would suggest the child is not receiving proper care at home. The child may also share information with the staff regarding things that are happening in the home which places the child in danger, e.g., parents use illegal drugs or substances, or someone in the home is abusing them (physically or sexually) 3. Procedures when staff suspect a child may be neglected at home and when staff see other staff abuse or neglect children in the facility. How to make a report. The policy will state: Suspected child abuse or neglect must be reported to: 1) DSS Office of Child Protective and Preventive Services with The Office of Out of Home Abuse and Neglect (OHAN). DSS has implemented a centralized phone number for all counties to report suspected cases, or this may be done online at the following link. Both can be reported 365 days per year, 24 hours a day, 7 days a week at 1-888-227-3487 or https://dss.sc.gov/child-well- being/report-childabuse-and-neglect/. 2) DSS/ABC Quality at 1-800-876-2223. a. Mandated Reporter Law Section 63-7-310 (https://www.scstatehouse.gov/code/t63c007.php) b. Procedure for training staff as mandated reporters c. Statement regarding the program’s cooperation in allowing DSS staff to conduct any on-site investigation and/or obtain necessary documentation to include any video footage d. Release of staff and children’s records as appropriate and upon request 2. The program must follow the policy as written c. Confirm if child care providers must comply with the Lead Agency’s procedures for reporting child abuse and neglect as required by the Child Abuse Prevention and Treatment Act (42 U.S.C. 5106a(b)(2)(B)(i): [x] Yes, confirmed. [ ] No. If no, describe: 5.3.12 Additional optional standards In addition to the required health and safety standards, does the Lead Agency require providers to comply with the following optional standards? [x] Yes. [ ] No. If no, skip to Section 5.4 If yes, describe the standard(s). i. Nutrition. Describe: Child Care Center Regulations 114-508 A Meal Requirements, (1) If food is provided by the facility, the following requirements shall be met: (a) Daily menus shall be dated and posted in a conspicuous location in public view. (b) Meals and snacks provided shall be in compliance with the USDA Child Care Food Program Guidelines. Centers that do not provide overnight care shall serve at least one meal and at least one snack that meet USDA Child Care Food Program Guidelines. Centers providing care between the hours of 6:00 p.m. and midnight shall additionally meet USDA Child Care Food Program Guidelines in serving dinner and at least one additional snack. Meal components and serving sizes shall be in accordance with these guidelines. (c) Only Grade A pasteurized fluid milk and fluid milk products may be given to any child less than 24 months old, except with a written permission from the child’s health provider. (d) Whole milk may not be served to children less than 12 months of age, except with a written permission from the child’s health provider. (e) Reconstituted milk shall not be served to any child, regardless of age. (2) Food served shall be suited to the child's age and appetite. Second portions shall be available. (3) Round, firm foods shall not be offered to children younger than four years old. Examples of such foods include: hot dogs, grapes, hard candy, nuts, peanuts, and popcorn. Hot dogs may be served if cut lengthwise and quartered; grapes may be served if cut in halves. (4) All food in child care centers shall be from a source approved by the health authority and shall be clean, wholesome, unspoiled, free from contamination, properly labeled, and safe for human consumption. (5) The use of food in hermetically sealed containers that was not prepared in an approved food processing establishment is prohibited. (6) The use of home-canned foods is not allowed. (7) The following requirements shall be met when it is necessary to provide meals through a catering service:(a) Catered meals shall be obtained from a food service establishment approved by the DHEC. (b) If adequate cleaning and sanitizing equipment is not available, only disposable eating and drinking utensils shall be used to serve catered meals or food; and (c) The procedures and equipment used to transport catered meals shall be approved by the DHEC. (8) Meals and snacks may be provided by the center or the parent. The center shall have a small supply of nutritional food and beverages available in the event a parent neglects to bring the child’s food on an unanticipated basis. (9) Dietary alternatives shall be available for a child who has special health needs or religious beliefs. (10) Written permission/instructions for dietary modifications signed by the child’s health care provider or parent or legal guardian are required. Large Family- Group Child Care Home Regulation 114-518 A Meal Requirements, A. Meal requirements (1) If food is provided by the group child care home, the following requirements shall be met: (a) Daily menus shall be dated and posted in a conspicuous location in public view; (b) Meals and snacks provided shall be in compliance with the United States Department of Agriculture (USDA) Child Care Food Program Guidelines. Group child care homes that do not provide overnight care shall serve at least one meal and at least one snack, which meet USDA Child Care Food Program Guidelines. Group child care homes providing care between the hours of 6:00 p.m. and midnight shall additionally meet USDA Child Care Food Program Guidelines in serving dinner and at least one additional snack. Meal components and serving sizes shall be in accordance with these guidelines;(c) Only Grade A pasteurized fluid milk and fluid milk products may be given to any child less than 24 months old, except with a written permission from the child’s health provider;(d) Whole milk may not be served to children less than 12 months of age, except with a written permission from the child’s health provider; and(e) Reconstituted milk shall not be served to any child, regardless of age. (2) Food served shall be suited to the child's age and appetite. Second portions shall be available. (3) Round, firm foods shall not be offered to children younger than four years old. Examples of such foods include: hot dogs, grapes, hard candy, nuts, peanuts, and popcorn. Hot dogs may be served if cut lengthwise and quartered; grapes may be served if cut in halves. (4) All food in group child care homes shall be clean, wholesome, unspoiled, free from contamination, properly labeled, and safe for human consumption. (5) Meals and snacks may be provided by the group child care home or the parent. The group child care home shall have a small supply of nutritional food and beverages available in the event a parent neglects to bring the child’s food on an unanticipated basis. (6) Dietary alternatives shall be available for a child who has special health needs or religious beliefs. (7) Written permission/instructions for dietary modifications signed by the child’s health care provider or parent or legal guardian are required. Small Family-Family Child Care Home Regulation 114-536, Food, A Meal Requirements, A. Meal Requirements (1) Nutritious meals and/or snacks shall be provided every four (4) hours. (2) A full serving of milk, or a nutritionally equivalent substitution, shall be offered a minimum of one time per day. (3) If the family child care home provides overnight care, a dinner and evening snack shall also be served. (4) When the family child care home provides food, it shall be in good condition, free from spoilage and contamination, and safe for human consumption. (5) Safe water for drinking shall be accessible to children through the day. ii. Access to physical activity. Describe: Child Care Center Regulations 114-506 A (4) Program of activities, Children shall be provided daily indoor opportunities for freedom of movement & (8) All children shall be given the opportunity for outdoor play daily, weather permitting; Large Family-Group Child Care Home Regulations 114-516 A(4) ) Program of activities, children shall be provided daily indoor opportunities for freedom of movement, (8) All children, including infants and toddlers shall be given the opportunity for outdoor play, weather permitting. Small Family-Family Child Care Home Regulation 114-533 E(1 & 2) Daily Schedule (1) The operator shall establish a daily schedule which will provide regularity of activities with sufficient flexibility and variety to respond to the needs of the children. (2) The operator shall provide daily indoor and outdoor activities that contribute to the individual child’s growth and well-being, including active and quiet activities. ABC Quality Standard, Center Based Policy Manual section 4.2.3g 4.2.3.g Outdoor Time Policy Outdoor play is not only an opportunity for learning in a different environment, it also provides many health benefits. Outdoor play allows for physical activity that supports maintenance of a healthy weight and better nighttime sleep and brief exposure of the skin to sunlight promotes the production of vitamin D that growing children require. 1. The program must develop a policy which states: ￿ Children are taken outdoors for play daily, weather permitting. Caution should be taken in the event of inclement weather. (Please see the Glossary for definitions of ￿weather permitting￿ and ￿inclement weather￿) 2. The program must follow the policy as written. ABC Quality Standard, Family and Group Child Care Home Policy Manual section 4.2.3g 4.2.3.g Outdoor Time Policy Outdoor play is not only an opportunity for learning in a different environment, it also provides many health benefits. Outdoor play allows for physical activity that supports maintenance of a healthy weight and better nighttime sleep and brief exposure of the skin to sunlight promotes the production of vitamin D that growing children require. a. The program must develop a policy which states: b. Children are taken outdoors for play daily, weather permitting. Caution should be taken in the event of inclement weather. (Please see the Glossary for definitions of ￿weather permitting￿ and ￿inclement weather￿) 2. The program must follow the policy as written. ABC Quality Standard, License Exempt Center Policy Manual section 4.2.6g 4.2.6.g Outdoor Time Policy Outdoor play is not only an opportunity for learning in a different environment, it also provides many health benefits. Outdoor play allows for physical activity that supports maintenance of a healthy weight and better nighttime sleep and brief exposure of the skin to sunlight promotes the production of vitamin D that growing children require. 1. The program must develop a policy which states: ￿ Children are taken outdoors for play daily, weather permitting. Caution should be taken in the event of inclement weather. (Please see the Glossary for definitions of ￿weather permitting￿ and ￿inclement weather￿) 2. The program must follow the policy as written. ABC Quality has created a policy template for Outdoor Policy to support program’s ability to meet this standard. iii. Caring for children with special needs. Describe: Child Care Center Regulations 114-500 C Access to and within the center, and physical site accommodations and equipment, shall be provided for children with disabilities to meet their health and safety needs in accordance with applicable state and federal laws.; Large Family-Group Child Care Home Regulation 114-513 C Access to and within the group child care home, and physical site accommodations and equipment, shall be provided for children with disabilities to meet their health and safety needs in accordance with applicable state and federal laws. Emergency Preparedness SECTION V CHILD CARE PROVIDER DISASTER/EMERGENCY FUNCTIONS Child care providers will address the needs of children including the need for safe child care before, during, and after a State of Emergency declared by the Governor or a disaster/emergency event through adherence to the Plan per DSS Regulation 114-505 (H) (3). C. Child Needs Providers’ emergency preparedness plans and procedures include addressing each child's needs, with additional considerations for: • children with disabilities or chronic medical conditions. Function A. Child Care Provider Disaster/Emergency Preparations Purpose: for child care providers to prepare for potential disaster/emergency events Description Child care providers conduct activities to prepare for all phases (before, during, and after) of disaster/emergency events. Before a Disaster Elements required to be in a child care provider’s Emergency Preparedness Plan include, but are not limited to, evacuation, relocation, shelter-in-place, communication and reunification with families, continuity of operations, accommodations of infants and toddlers, children with chronic medical conditions, and children with disabilities. iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: N/A